News & Research

Understanding Hospice
An Underutilized Option for Life's Final Chapter

Volunteer

Learn about volunteering opportunities with Islands Hospice!

Volunteers play a vital role in hospice care, in activities that can enhance quality of life and bring true joy to patients facing terminal illness. They are also important in lessening the burdens associated with end of life care for families and loved ones. The volunteer role is that of a friend and supporter, not expert or authority. No prior medical knowledge is necessary.

Complete the form below to submit your Application online today.

Volunteer Application

Name * First Last
Email *
Home Phone * - (###) - ### ####
Other Phone - (###) - ### ####
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Major Cross Streets
How did you learn about Islands Hospice?
Birth Month and Day
BACKGROUND INFORMATION
Why are you interested in volunteering for a Hospice Organization?
Have you experienced a loss of someone close to you in the last year?
Relationship:
How do you feel you are coping with the loss?
What is your educational background?
Are You:
Employer Name/Business
College/Major
Special Skills/Interests
Previous Volunteer Experience
Languages Spoken
Areas of Volunteer Interests: (check all that apply) Home Visits Bereavement Support Animal Angels Music Therapy Event/Public Relations Office Support Virtual Volunteer
AVAILABILITY
Preferred Days: (check all that apply) Mon Tue Wed Thu Fri Sat Sun
Preferred Times: (check all that apply) Morning Afternoon Evening
How many hours would you like to volunteer per week?
How many hours would you like to volunteer per month?
When are you available to attend training? Weekdays Weeknights Saturdays
OTHER
Do you have a current driver’s license? *
Do you have your own transportation? *
Do you have liability automobile insurance? *
Have you been convicted of or served time for a felony? *

*Felony conviction will not necessarily disqualify applicant from volunteering.
If yes, state the offense, location and date:

*Felony conviction will not necessarily disqualify applicant from volunteering.
REFERENCES
Reference #1 - Name First Last
Daytime Contact Number - (###) - ### ####
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Relationship/ Years Known
Reference #2 - Name First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Daytime Contact Number - (###) - ### ####
Relationship/ Years Known
EMERGENCY CONTACT INFO
Name First Last
Relationship
Home Phone * - (###) - ### ####
Mobile/Work Phone - (###) - ### ####
I certify that all information provided in this application is accurate, current and complete. I understand that any false information or omission may disqualify me from volunteering and may result in my dismissal if discovered at a later date. I authorize Islands Hospice and/or its agents to investigate all statements contained in this application for volunteer work as may be necessary, including but not limited to a background search / verification, criminal record search, driving record, education and licensure certification. I further authorize law enforcement authorities to release any information concerning my background and herby release authorities from any liability for any damage whatsoever for issuing this information. I understand that I will participate in a volunteer interview and extensive training and must agree to abide by all policies, regulations and guidelines established by Islands Hospice. I understand that this application will not be considered if questions are left unanswered or it is not signed.
Name * First Last
Date * / MM / DD YYYY

Volunteer Application

Volunteer Application

BACKGROUND INFORMATION

AVAILABILITY

OTHER

REFERENCES

EMERGENCY CONTACT INFO