Compassionate Care Hospice Volunteer Application

I. Personal Information

We are an Equal Opportunity Employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.

Availability
(Check all that apply.)
Emergency contact

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, green card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination.

II. Interests and Experiences

Personal Loss

III. Educational History

IV. Employment History

V. Professional Licenses and/or Certifications

VI. Referral Source

(Check all that apply.)

(Provide a minimum of two references. Please do not include relatives.)

VII. Personal References

Reference 1
Reference 2

Volunteer opportunities are open to all qualified applicants without regard to race, color, religion, sex, national origin, age, handicap/disability or Veteran status.

VIII. Statements

I certify that the information contained in this application is true and complete to the best of my knowledge and acknowledge that any misrepresentation, falsification or omission herein shall be sufficient reason for dismissal from or refusal of Volunteer Services.

Sworn Statement
(Type your name in the box above. By doing so, you are providing a digital signature confirming the sworn statement above.)