Hospice Volunteer Form

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Volunteers help enable patients of The Renee Denmark Punia Community Hospice of Greenwood House to participate in the activities they enjoy, for as long as possible. Whether sharing a hobby or interest, chatting with a patient or sharing a musical talent, volunteering is a great experience – for you and our patients!

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Personal Information

Name:

Birthday (Mo/Day):

Address:

City, State, Zip:

Home Phone:

Cell Phone:

Email:

Occupation:

Employer:

Days and Times Available:

Please list the names, addresses and phone numbers of two persons we can contact as references:

Please state briefly why you are interested in becoming a Hospice Volunteer:

Have you had any personal losses or experiences with death and dying? :

Please describe briefly indicating the year(s) of each experience.

I understand that becoming a HOSPICE volunteer is contingent upon completion of the training program, personal follow-up interview and demonstration by me of the qualifications for volunteers on the HOSPICE Volunteer Position Description.