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 palliative and grief care programs are 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 patient with his granddaughter

To See My Granddaughter Again

We ask “what’s most important to you today?” at every visit with patients and families. Last week, the answer was simple, beautiful, and led to an emotional reunion.

Gala on Derby Eve Committee

Gala on Derby Eve Raises $29K

On Thursday, May 28, the hardworking members of the Gala on Derby Eve Committee presented Hospice Care Plus with the proceeds from this year’s event. In total, the event raised $29,797.38.  The total includes $4,050 raised by the Berea Younger Woman’s Club at the live and silent auctions it hosted at this year’s Gala. “It…

Ride for the Cure Logo

Calling All Bikers!

Thanks to Kentucky Motorsports & Outdoors (KYMO) in Richmond, this year’s Ride Pink for the Cure will designate all proceeds to Hospice Care Plus. The event will be held on Saturday, June 13 at KYMO, just behind Cracker Barrel in Richmond. Ride registration begins at 10am with kick-stands up at 11:30am. Coffee and doughnuts will…

The site of the Red Lick Valley Bluegrass Festival is also the Tracy Jenkins farm, land that has been in the family for three generations.

To Continue a 37-Year Tradition

Seventy-three-year-old Stanley (Tracy) Jenkins enjoys many things, but a few top the list.

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Volunteer Application