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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Celebrate our 40th with #40for40!

Hospice Care Plus is celebrating 40 years of compassionate care. When our doors opened in 1981, our goal was simple: provide quality care to those dealing with a serious illness and their families. Our small, all-volunteer team worked out of the trunks of their cars and provided care to about 40 patients a day. Today,…

Pandemic screening volunteer Brenda Anderson doing a temperature check of a colleague at the Compassionate Care Center

Volunteers: Our Healthcare Heroes! Join today.

Volunteers are needed now more than ever. Though they have always been our heroes, volunteers now are truly healthcare heroes. You can be part of our healthcare hero team in any  number of ways. Whether you have an hour a month or two hours a week, there are many ways you can support patients and…

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Caregiver Connection October Meeting

Caregiver Connection, a new resource for family caregivers, hosts a meeting on the first Monday of each month. The meetings are designed to give caregivers a chance to network and share tips, challenges, resources, and more. Caregiver Connection is hosted and sponsored by Hospice Care Plus.  At this time, meetings are held virtually via Zoom.…

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KHN Pain & Symptom Management In-services

The Kentucky Hospice Network (KHN) will host two virtual in-services on end-of-life symptom assessment and management with the nationally recognized pain and palliative care expert, Lynn McPherson, PharmD. Each in-service must be registered for separately. Nursing CEUs are in process for each. THURSDAY, OCTOBER 14, 9 AM – 11 AM EST. Pain Management in Hospice &…

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Volunteer Application