Applicants must have a valid U.S. social security number and driver’s license or state ID.

Contact Information

Email Preferences

Email provides us with the most efficient means of communicating updates, opportunities, and agency news to our team of volunteers. May we add you to our email distribution list?

Other Information

Volunteer Preferences


Please indicate the days and times you are usually available to volunteer.

Skills Section

Please select all applicable skills.

Emergency Contact Information

Why Volunteer

Why would you like to volunteer with Mission Hospice?

Related Work and/or Experience

Please describe any work or other experiences which you feel have prepared you to be a volunteer.

Personal Characteristics

What personal characteristics will allow you to best carry out your role as a volunteer?

Previous Experiences with Death and Dying

When was the last death you were impacted by? What was the relationship?

Electronic Signature/Certification

I certify that I am submitting a COMPLETE application and that the information contained in this application is correct to the best of my knowledge.

I understand that I will be required to provide two reference forms to individuals who know me on a personal or professional basis. By checking this box, I am authorizing Mission Hospice to contact my references regarding my appropriateness as a volunteer.