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

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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. 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

20190503_Hospice Derby_CrystalWylie-70

Success!

By all accounts, the 16th annual Derby Eve Benefit, known this year as Bourbon, Boots & BBQ, was a resounding success. More than 300 guests packed Richardson Hall at the Madison County Fairgrounds to celebrate Kentucky’s Derby traditions, enjoy country music sensation Walker Montgomery, and raise funds for Hospice Care Plus. Fundraising totals will be…

DEV_ Hospice Hoedown for Website

Hospice Hoedown Coming Apr. 12

A hoedown is coming to Mt. Vernon, and it’s for a great cause. The first-ever Hospice Hoedown is Friday, April 12 at 7 p.m. at the Silver Eagle. Touted as old-fashioned fun, organizers say the Hoedown will feature live music by Strait Shot, a homemade BBQ meal, a cake walk, cloggers, dancing, a silent auction,…

Medicare 101_ FB Event Image

Medicare 101 for Family Caregivers

U-Care is hosting Medicare 101 for Family Caregivers on April 12, 1:00 to 4:00 p.m. at the Appalachian College Association in Richmond (801 Brighton Ave., Richmond, next to Galaxy Bowling). Registration is required and is free for all family caregivers. The workshop is ideal for those caring for a family member on a part-time or…

bourbon boots bbq logo

Reservations: Bourbon, Boots & BBQ

RESERVATIONS AVAILABLE ON LINE OR BY CALLING 859-986-1500. The Gala on Derby Eve is still a party, but it’s now a party by another name. Hospice Care Plus has announced that the Gala on Derby Eve is being refashioned for 2019 as the Bourbon, Boots and BBQ Derby Benefit. “We’re having a lot of fun organizing…

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Volunteer Application