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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Lemetta Dause Memorial Bowling Tourn.

The 5th annual Lemetta Dause Memorial Bowling Tournament is scheduled for Sunday, Feb. 28 at 2 p.m. at Galaxy Bowling Center in Richmond. The tournament is organized by the Madison County Bowling Association and the Madison County Women’s Bowling Association in memory of Mrs. Dause, who was cared for by Hospice Care Plus. All proceeds…

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Hearts for Hospice in February

For the entire month of February, area banks are hosting Hearts for Hospice. The fundraiser gives customers the opportunity to request a memorial heart for a donation of at least one dollar. The donor writes the name of the person they are remembering on the heart, and the banks display them throughout the month. All…

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And the Winners Are . . .

Hospice Care Plus held its annual dinner on Tuesday, December 9, and recognized several organizations and staff for their outstanding support of the hospice mission. Each year, Hospice uses its annual dinner as a forum for thanking those who go to great lengths on behalf of the organization. Two sets of awards are announced during…

WWAG's Dangerous Dan will co-host Radio Day on Dec. 1.

Hospice Radio Day Dec. 1

For the first time ever, Hospice Care Plus is partnering with WWAG-FM for a special Hospice Radio Day event on December 1 from noon until 4pm. The WWAG-Hospice Radio Day will feature several special guests, including families who have received hospice care and want to share their stories.  The phones will be open during the entire…

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Volunteer Application