Please fill out the form if you're interested in taking the training
to become a hospice volunteer.
Our next training session will take place in the fall of 2024

* All information on this application is strictly confidential

Volunteer Application

First name

Birthday

Last name

Main Phone #:

Secondary Phone #

Address

What made you decide to become a volunteer with hospice?

Please tell us a bit about your background and professional history

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

What are your feelings towards supporting individuals from different belief systems or cultures then yours?

Volunteers provide emotion 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.

Have you experienced a personal loss or bereavement during the past year?

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

Tell us anything else about yourself that you feel would be a strength as a hospice volunteer

Emergency Contact

Name:

Relationship to you:

Phone #:

Email:

CONSENT*

I agree to the terms & conditions

Your Signature

Select a date

Thank you for applying for the training,

we will be in touch shortly.

Please fill out the form if you're interested in taking the training to become a hospice volunteer. Our next training session will take place in the fall of 2024

* All information on this application is strictly confidential

Volunteer Application

Emergency Contact

Subscribe Form

Please fill out the form if you're interested in taking the training
to become a hospice volunteer.
Our next training session will take place in the fall of 2024