Volunteer Application

Ready To Make a Difference?

Volunteers have been at the heart of Compassionate Care Plus since 1981, and they continue to make a meaningful difference every day.

Whether you're providing companionship to patients, supporting families, assisting with special events, or lending your skills behind the scenes, there's a volunteer opportunity that's right for you. Whether you have one hour a month or ten hours a week, we'll work with you to find a role that fits your interests, talents, and schedule.

We'll provide the training, resources, and support you need to feel confident and prepared.

Take the next step by completing our volunteer application or learning more about our volunteer training program.

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. We also provide a free Grief & Loss Support program for anyone in the community who may need this service.

We provide care for all, even those who may be underinsured.

News & Events

General Featured Image

National Hospice Month

In honor of National Hospice Booth, Hospice Care Plus is hosting multiple information booths in Estill, Jackson, Lee, Madison, Owsley, and Rockcastle counties. The booths will feature helpful resources on advance care planning and related documents, hospice care, palliative care, family caregiver workshops, and more. Tiffani Wright, Community Liaison at Hospice Care Plus, will be…

General Featured Image

Celebrate NYE with the Roaring 20s

Madison Countians have a new option for ringing in the new year. On December 31, Churchill’s in Berea will host the first-ever Roaring 20s New Year’s Eve party. The event begins at 9 p.m. in Churchill’s beautiful event space and continues through 12:30 a.m. on New Year’s Day. Tickets are $75 each and are available…

General Featured Image

Local Family Inspires Veteran Memorial

On Veterans Day 2019, Hospice Care Plus will dedicate a Veterans Memorial Wall at our Compassionate Care Center. The dedication will take place Monday, November 11, at 1:30 p.m. at the Hospice Care Plus Compassionate Care Center. The public is invited to attend. The Veterans Memorial Wall was inspired by Richmond’s Bagby family. After their…

howard thompson gardening

Volunteer Training Sept. 14!

Hospice Care Plus will host a training for new volunteers on Saturday, September 14, 9 a.m. to 5 p.m., at the Compassionate Care Center in Richmond. The training is for anyone with an interest in supporting non-profit hospice, palliative, and bereavement care through a variety of patient care or administrative roles. The training is open…

Load More loader

Volunteer Application