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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This doesn’t exactly fit our bucket-list-story mold, but we couldn’t help but share it. As we’ve said before, most of our bucket-list wishes come to us in response to the question, “What’s most important to you today?” We didn’t ask that question of these teenagers, but still they told us how important it was to…

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Your Place to be on Derby Eve

Berea, Ky., 15 April 2014 It’s hard to believe, but Friday, May 2, will be the 11th time our community has gathered for our very own Derby Eve party. Reservations are now open for the Gala on Derby Eve and can be made by calling 859-986-1500 or emailing hospice@hospicecp.org. Tickets are $100 and reservations should…

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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…

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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…

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Volunteer Application