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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It’s Falls Prevention Awareness Week

If you have an aging parent, grandparent, or neighbor in your life, helping them reduce their risk of falling is essential to quality of life. Assessing and reducing their fall risk is a great way to help them stay healthy and independent for as long as possible. Among older adults, falls are the leading cause…

The River City Players Community Theater group accepts the first-place prize in the table-decorating contest.

Hee Haw Hoedown a Huge Success!

The Hee Haw Hoedown, held at the Estill County Fair Barn, had a record-setting night on Aug. 13. The event raises funds for Hospice Care Plus and is organized by a local committee. This is the fourteenth year the committee has hosted the fundraiser, which features a different theme each year. Committee member Erin Leach…

David Tapley with new cargo van.

Grants Fund New Cargo Van

With the help of matching grants totaling $30,000 from the Honorable Order of Kentucky Colonels (HOKC) and the E.O. Robinson Mountain Fund, Hospice Care Plus added a gently used cargo van to its medical equipment program. The van is used to deliver equipment to the homes of hospice patients and families in all counties served…

Lauren VanWinkle and Mae Suramek at the launch of the Noodle Nirvana non-profit partnership with Hospice Care Plus in 2019. The partnership ended in a donation of $34,000 for the non-profit organization.

Noodle Nirvana Donates $34,000

Noodle Nirvana, Berea’s fast-casual restaurant featuring homemade, Thai-inspired noodle bowls, has announced it raised $34,000 for Hospice Care Plus. “Noodle Nirvana and its owners, staff, and customers are remarkable for what they have done for non-profits in our community. We are grateful, inspired, and ready to put the donation to work to care for patients and…

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Volunteer Application