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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Center Update Nears Completion

In 2023, our Compassionate Care Center marked its 15th anniversary. After 15 years of providing care to thousands, the facility needed key updates to maintain it as a comforting, peaceful place for patients and families. Thanks to an anonymous donor who gave an unrestricted gift of $10,000, we were able to launch an update plan…

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New Grief Support Group Offerings

Hospice Care Plus is offering several new support groups for those grieving the loss of a loved one. The newest addition is a six-week Grief Support Series. The series uses focused topics for each session with opportunities for participants to share their experiences. The last session is dedicated to creating a shadowbox in memory of…

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Rockin’ Derby Eve Benefit Party May 3

Reservations are now open for the area’s longest-running Derby Eve party. Rockin’ Derby Eve will take place Friday, May 3, 6 p.m. to 11 p.m., at the Madison County Fair Grounds’ Richardson Hall. Reservations are open through May 1. Although the name has changed over the years – Bourbon, Boots & BBQ, the Gala on…

Truck load of beautiful flowers donated by Williams Greenhouse in Berea crp

Positive Payload Program awards $250.00

American Trucks has awarded Hospice Care Plus $250.00 through its Positive Payload Program. These unrestricted grants are awarded to non-profits who are dedicated to making a positive impact in their community and who rely on the use of specified pickup trucks to help serve their mission. Organizations are selected from applications on an ongoing basis,…

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Volunteer Application