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.

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

A soon-to-be-named puppy is the new therapy pet in-training for the Hospice Care Plus Compassionate Care Center.

Meet our “Joy”

We’re happy to introduce you to the newest member of the Hospice Care Plus family: Joy, a golden retriever, was born on Tuesday, September 6, to proud parents Zach and Tillie (also golden retrievers). Zach and Tillie’s human is a Madison County resident who trains therapy pets. She has donated her services to train both therapy pets that…

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Nat’l Hospice Month-Know Your Options

The theme of National Hospice Month 2016 is Know Your Options. According to the Conversation Project, 80% of people say, if they had a serious illness, they would want to talk to their doctor about end-of-life care options. Only 7% actually have that conversation with their doctor. In honor of National Hospice Month 2016: Know…

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“Evening of Music” Benefit Nov. 5

Beattyville Christian Church is hosting a special event—An Evening of Music—on Saturday, Nov. 5, at 6pm, to raise funds for Hospice Care Plus. Hospice Care Plus is Lee and Owsley’s non-profit provider of hospice care, palliative care, and grief support services. Featured music includes bluegrass, jazz, classical, country, gospel and more.  Local musicians will be…

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Boutique Day: On Site & Online!

If you love to shop early for Christmas, enjoy buying gifts that stand out, and also like to support a great cause, then we have the perfect event for you. Join us for Boutique Day on Monday, Oct. 24, from 10 a.m. until 3 p.m. at our central office in Berea (208 Kidd Dr., behind White…

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Volunteer Application