Please fill out the form if you're interested in taking
the training to become a hospice volunteer.

Volunteer Application

First name

Date of Birth

Last name

Cell # / Home #

Address

Personal or Professional Reference #1

Name:

Relationship to you:

Phone #:

Email:

Personal or Professional Reference #2

Name:

Relationship to you:

Phone #:

Email:

Are you currently enrolled in any Death Doula Programs? Required

Yes

Are you involved in any organization that requires volunteer hours to be completed? Required

Yes

What made you decide to become a volunteer with hospice? Please give as much detail as you can.

Have you ever done any volunteering or worked within a field similar to hospice? If yes, please detail your experience.

Please tell us a bit about your background and professional history

Tell us your skills or interests that may be relevant as a hospice volunteer

Have you experienced a personal loss or bereavement during the past year? If yes, please detail your experience.

Have you experienced any major life changes in the past year? (ie: illness, separation/divorce, major move or job change), if so please explain.

Have you ever spent time with someone very sick and/or dying? If yes, please describe how it was for you.

Volunteers provide emotional support for people in the final stages of life, and for the loved ones involved. Do you feel like you are prepared for this type of volunteering, please explain.

Our clients come from diverse ethnicities, sexual orientation, cultural beliefs etc. What are your feelings towards supporting individuals that are different from you?

It is important for volunteers to have support, themselves. Please describe what your personal support system is like.

What do you do for self care; physically, mentally, emotionally & spiritually, when you are under stress or managing challenging situations?

Do you have any physical or medical restrictions/conditions that may affect your function as a volunteer? If yes, please explain.

Please tell us anything else you would like us to know about you that you feel is important in a role as a hospice volunteer.

Volunteer Roles:

Our volunteers work in a variety of roles that are designated as Direct Care and/or Indirect Care. Please indicate which areas of volunteering interest you.

Direct Care Volunteer

Indirect Care Volunteer

Both

Volunteers working directly with clients/families. (ie: Vigil support, 1:1 grief support, hospital visiting team)

Volunteers who support Hospice without working directly with clients/families. (ie: fundraising, community awareness, special events)

Volunteers who would like to be involved in various aspects of hospice, or as their time permits

Emergency Contact

Name:

Relationship to you:

Phone #:

Email:

Complete the online volunteer application and submit
Attend an information session which will be scheduled prior to the training
If still interested in proceeding, a screening interview with two of our training committee members will be scheduled.
Following the interview, you will be contacted regarding your acceptance into the training.
Once you've been accepted a Criminal Record Check is required. We will send you a request through CRC to complete.
Once we receive your CRC and everything is in order, payment of $150 is due one week before the first session, which covers facilitator fees and a Volunteer Handbook

* Please note: Successful completion of the application process does not guarantee a volunteer placement with Salt Spring Hospice Society.

I agree to the terms & conditions

Application Process - Next Steps

Your Signature

Today's date

Thank you for applying!

We acknowledge the unceded territory and ancestors of Coast Salish First Nations of Salt Spring Island & surrounding areas who continue to use and steward the lands and waters of the Salish Sea.

Supporting our Island Community with Compassion and Comfort

Please fill out the form if you're interested in taking
the training to become a hospice volunteer.

Volunteer Application

Personal or Professional Reference #1

Personal or Professional Reference #2

Emergency Contact

Subscribe Form

We acknowledge the unceded territory and ancestors of Coast Salish First Nations of Salt Spring Island & surrounding areas who continue to use and steward the lands and waters of the Salish Sea.

Supporting our Island Community with Compassion and Comfort

Please fill out the form if you're interested in taking the training to become a hospice volunteer.

Volunteer Application

Personal or Professional Reference #1

Personal or Professional Reference #2

Emergency Contact

Subscribe Form

Please fill out the form if you're interested in taking
the training to become a hospice volunteer.