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

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Painting for a Purpose: Wine & Canvas

Grab a friend, spouse, or sister and get ready for a great night out at the Wine & Canvas fundraiser for Hospice Care Plus on Friday, May 15.   The event, Painting for a Purpose: Wine & Canvas, is from 6:30pm – 9:30 pm at the new Armed Forces Reserve Center on 233 Battlefield Highway…

Gala on Derby Eve

Gala on Derby Eve: Reservations Open

Your “place to be on Derby Eve” is back for its 12th year: The Gala on Derby Eve. The black-tie optional benefit gala brings together 200-plus guests in Richmond each year to celebrate Kentucky’s Derby tradition while raising funds for Hospice Care Plus. The 2015 Gala will be held in the Grand Ballroom of the…

Personalized memorial candles are available upon request for the 2015 May Memorial Service. Contact Julie at 859-986-1500 or hospice@hospicecp.org.

You’re Invited: May Memorial Service

On Tuesday, May 19, Hospice Care Plus staff will join with families of hospice patients to remember and honor loved ones. The annual Hospice Care Plus May Memorial Service is at 6:00 p.m. on May 19 at Eastside Community Church in Richmond.  A reception will follow, with refreshments provided by hospice volunteers. During the service,…

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Hearts for Hospice in February!

Local businesses are helping the community show its appreciation for hospice by taking part in the annual Hearts for Hospice campaign. For the month of February, customers at participating businesses can donate one dollar or more to have their name, or the name of a loved one, displayed on a hospice heart inside the business.…

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Volunteer Application