Volunteer Application

Volunteers are vital to our mission of providing compassionate care for all, regardless of ability to pay.

They provide a special kind of caring and practical help for our patients and their families or work alongside our staff behind the scenes.

Whether it’s offering a listening ear to patients and families, providing respite care for exhausted caregivers, helping us prepare a large mailing, or sharing personal expertise, the hours our volunteers give can be the most rewarding experience of their lives.

Our volunteers come from all walks of life. Some work during the day, some are retired, and others volunteer while attending school. Whatever your life allows, we work with you to find an opportunity that fits.

While training is required, we make it as easy as possible to get started.

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Volunteer Application Form

Thank you for your interest in volunteering. This information will provide us with an understanding of your interests and abilities. Some questions may seem personal; however, the information is helpful in determining the best role for you.

General Information

Name
Address

Education and Employment:

Educational Experience:
Employment Experience:
Please check all special skills or hobbies that apply to you:

Personal Information:

Do you have a valid driver's license?
Do you have reliable transportation?
Do you have auto insurance?

Programs and Placements:

Programs/Settings of Interest (please check all that apply):
Areas of Interest (please check all that apply):

References:

Give the names of two persons not related to you, whom you have known at least one year. Sharing their information means you authorize Hospice to contact the persons listed below to obtain personal reference checks.

Reference 1:

Name
Address

Reference 2:

Name
Address

Emergency Contact

Name
Address

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Please read the following statement carefully before signing to indicate your understanding:

I certify that the facts contained in this application are true and complete to the best of my knowledge. I authorize investigation of all statements contained herein and the references listed above, and release all parties from liability for any damage that may result from furnishing same to you.

I understand as a condition of my volunteer service, I will be required to undergo screening and other pre-service requirements.

Clear Signature
Date / Time

Isn’t it expensive?

NO. The cost of care is covered by Medicare, Medicaid, and private insurance. Our grief care program is donor supported and you are not invoiced for care.

We provide care for all, regardless of insurance status or ability to pay.

News & Events

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Journaling Through Grief: A New Grief Support Series

Hospice Care Plus is offering a new grief support series called Journaling Through Grief, starting Jan. 14 and ending June 24. The group will meet every second and fourth Tuesday at 5:30 p.m. at the Madison County Public Library in Berea. Enrollment is limited to 12 and is open to anyone in the community. Register…

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Grief and Loss During Holidays and Milestones

Holidays can be a uniquely difficult time for those grieving the loss of a loved one.

You may find that grief will surface over and over, or that milestone events or holidays pull you back into your grief, or you may be surprised that grief is missing on these special days. Our grief comes in many forms and doesn’t follow a calendar.

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Compassionate Care Center Updates Completed

In early 2023, Hospice Care Plus received an unexpected $10,000 gift from a donor who wishes to remain anonymous. This generous gift is fondly referred to by staff as the “Couches, Coffee, or Cough Drops” donation because the donor’s only request was that the funds be used to meet the most pressing needs of the…

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Poems of Remembrance & Hope, by Chaplain Sally Iseral

I share these two poems from past memorial ceremonies in the hope that they offer comfort and hope during the holidays.  Remember, we at Hospice Care Plus are always here for you.

Volunteer Application