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.

Please enable JavaScript in your browser to complete this form.

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

Section Divider

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

hospice

Saddle Up for Hospice Care

The Jackson County Wagon & Saddle Club is hosting a fundraiser for Hospice Care Plus, and it’s open to the community. Saddle Up for Hospice Care Plus is on Saturday, September 8 at 10 a.m. at the Martin Farm in McKee (7196 Highway 1955).  There is no admission fee, but donations are encouraged. All proceeds…

4x2.5 New Vol Training for Web Promo (1)

How to Help by. . .Shopping!

One of the easiest ways to support the families we care for is by . . . shopping! Both Kroger and Amazon allow shoppers to select a charity, and a portion of your shopping totals will be donated to that charity each time you shop. If you haven’t already selected Hospice Care Plus as your…

2018 Facebook Post

Summer Affair for Hospice Care Aug. 11

For more than a decade, a group of Estill Countians has thrown a yearly dinner party to raise funds for hospice care in their community. This year, their Summer Affair for Hospice Care is on Saturday, August 11, at 6 p.m., at the Estill County Fair Barn on 38 South Irvine Road in Irvine. The Summer…

Family CG 101 FLYER

Family Caregiving 101 July 25

A new, free resource for family caregivers is coming to Madison County on Wed., July 25, 1:00 to 5:00 p.m., at the Berea College Forestry Outreach Center in Berea. Family Caregiving 101 is designed to be a mini-conference experience that features four, brief learning sessions combined with opportunities for fellowship and networking among caregivers. The…

Load More loader

Volunteer Application