Volunteer Application Form

Thank you for your interest in becoming a CareFirst volunteer! Once you complete the application form, click the continue button at the bottom.


Name and address

Please complete all contact information below.


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Emergency Contact

Person to notify in an emergency


Employer


References

Please provide a complete email address and a convenient phone number, as references are often verified by email or by phone. *CareFirst will be contacting the following two references.


Availability

Please indicate the days and times you prefer to volunteer.


Volunteer Opportunities

Please select any and all volunteer roles in which you are most interested.


Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.


Background/Preferences


Death and Dying


Military Service


Volunteer Agreement

I hereby certify that the statements made on this application are true and correct to the best of my knowledge. I understand that by submitting this application I authorize inquiries to be made concerning my employment, character, and public records for the purpose of determining my suitability as a volunteer. I agree to respect the confidentiality of any client information I acquire in the course of my volunteer activities with hospice.