APPLICANT INFORMATION :

Legal Name

MAIDEN NAME(S) :

COMPLETE HOME ADDRESS (INCLUDE PO BOX, APT #, ETC.)

EMPLOYMENT HISTORY :

DATE EMPLOYED
1. What is the best way to contact you?
Please check all that apply: I am available to volunteer

REFERENCES: List three people (other than relatives) who are in a position to evaluate your performance, preferably people with whom you have worked with and/or for, or volunteered with and/or for.

I authorize investigation of all statements contained herein and to release you any and all information concerning the background investigation of any criminal records, and release all parties from all liability for any damage thatmay result from furnishing same to you.
Parent or guardian
Additional contact if parent/guardian is unable to be reached:

Anchor Hospice Volunteers

The volunteer provides patient care and support services according to his/her experience and training and in compliance with organization policies.

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What is Hospice?

-Hospice is a “special way” of caring for those individuals at the end of life
-The care of the dying is a process that involved the patient, family, and hospice caregivers
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The Idea of hospice:

-Hospice emphasizes that the patient and family live each day as fully as possible with the “hope of making the very best of today when, tomorrows are limited.”

Wanting to volunteer

Some responsibilities/duties
  • To work as a member of the Hospice team, accepting supervision from and communication relevant information to the Volunteer Coordinator and/or Director of Nursing
  • To work always with consideration, courtesy, and dignity
  • To be dependable and conscientious in carrying out assignments
  • To respect the confidentiality of patient information received through hospice work
  • to continue the process of learning and personal growth by participating in ongoing education and support programs offered by hospice
Are you?
  • Caring and compassionate natures
  • Sound judgement skills
  • Sincerity
  • Composure
  • Commitment
  • The appreciation of all members of the care team

To become a part of Anchor Hospice volunteer program, please fill out the application below. When returning the application, also include your resume and references. All documents can be submitted in person at our office location, or faxed to 281-783-2111. If you have any questions, please call 877-296-3840.

Anchor Hospice Volunteer Application Form