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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New Gala Perk: Bourbon-Tasting Tent!

If dinner and dancing aren’t enough to wet your whistle, the Gala on Derby Eve has a new trick up its sleeve. For the first time ever, the 2016 Gala will feature a Bourbon-Tasting Tent. “Bourbon pairs well with the Gala, because it’s as steeped in Kentucky tradition as the Derby itself,” says Julie Hatfield,…

Gala on Derby Eve

Reservations Open for Gala on Derby Eve

Your “place to be on Derby Eve” is back for its 13th year:  The Gala on Derby Eve. The benefit gala brings together 200-plus guests in Richmond each year to celebrate Kentucky’s Derby tradition while raising funds for Hospice Care Plus. This year’s Gala on Derby Eve is Friday, May 6 at 7 p.m. Registration…

Visit our Bucket-List Blolg Today.

Bucket-List Campaign Starts Feb. 26

The 2016 Bucket-List Challenge Campaign kicks-off Friday, Feb. 26, with seven days of inspiring stories about hospice patients and families. The Bucket-List Campaign is a fundraising event, but also raises awareness about hospice care. For seven consecutive days, Feb. 26 to March 4, Hospice Care Plus will share one bucket-list story each day. The stories…

The family room at the Compassionate Care Center. First Tuesday Tours begin Feb. 2 and continue on the first Tuesday of each month, from noon until 6 p.m. All are welcome.

New! 1st Tuesday Tours

Starting Tuesday, February 2, the Hospice Care Plus Compassionate Care Center will offer First Tuesday Tours. The tours are to help the community learn more about one of Kentucky’s few, freestanding, hospice inpatient centers and will be offered on the first Tuesday of each month from noon through 6 p.m.  Light refreshments will be provided.…

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Volunteer Application