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.

Please enable JavaScript in your browser to complete this form.

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

Section Divider

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

General Featured Image

KHN Pain & Symptom Management In-services

The Kentucky Hospice Network (KHN) will host two virtual in-services on end-of-life symptom assessment and management with the nationally recognized pain and palliative care expert, Lynn McPherson, PharmD. Each in-service must be registered for separately. Nursing CEUs are in process for each. THURSDAY, OCTOBER 14, 9 AM – 11 AM EST. Pain Management in Hospice &…

Bid to Give LOGO (7)

Bid2Give Now through Oct. 26!

Now through October 26, you can make hospice, palliative, and bereavement care possible for our community, regardless of insurance status or ability to pay. The Bid2Give Online Charity Auction benefits our programs and features more than 120 items. From antiques, UK and EKU sports packages, and vacation getaways, the auction has something for everyone. Bid2Give…

Noodle Nirvana Promo for Website

Noodle Nirvana Partnership Re-Launch!

Noodle Nirvana, a locally owned Berea restaurant that believes small businesses can make a big difference, is re-launching its non-profit partnership program. Hospice Care Plus has been chosen as the current non-profit partner. The partnership was originally announced in late 2019, but was interrupted by the pandemic. “Three months into our partnership with Hospice Care…

Caregiver Connection Logo 1 Two Color LARGER

Sign-Up for Caregiver Connection

Caregiver Connection, a new resource for family caregivers, hosts a meeting once a month. The meetings are designed to give caregivers a chance to network and share tips, challenges, resources, and more. Caregiver Connection is hosted and sponsored by Hospice Care Plus. Enter your information on our online form if you wish to receive registration…

Load More loader

Volunteer Application