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

Candles

May Memorial Service on May 20

Berea, Ky., 13 May 2014 On Tuesday, May 20, Hospice Care Plus 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 20 at Eastside Community Church in Richmond. A reception will follow, with refreshments provided by hospice…

Hands

New Hospice Volunteer Training Scheduled

Berea, Ky., 2 June 2014 We will host a training for new hospice volunteers on Saturday, June 21, from 9am to 4pm at our Compassionate Care Center in Richmond. Our volunteers do a variety of tasks to help support patients, families, and our non-profit organization. From sitting with a patient so a caregiver can have…

schoolbus

To be There for His 1st Day of School

Nancy and her husband Skip had nearly 40 years of history together when she learned she had lung cancer in June 2009. By Christmas, she knew curative treatments were no longer helping. Her focus became quality of life, and we were honored to be asked to care for her at home.  Nancy and Skip were…

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To Marry Karen

One February day in 2014, we made a special request on our Facebook page:  did anyone have a sized 32-34 suit or tux we could borrow for a patient who wanted to get married? We asked our Facebook followers because the patient’s care team—the nurse, social worker, nurse aid, and chaplain—had all checked with friends and…

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Volunteer Application