Please complete this application form if you are interested in becoming a Tidewell Hospice volunteer. Once you complete the form, click the submit button at the bottom. You will be contacted by one of our local volunteer coordinators to arrange additional paperwork and training. Tidewell does run background screens, driving records, and reference checks on volunteers.

Name and address

Demographic Information

Tidewell will keep your demographic information private. Social Security numbers are needed in order to register you for fingerprint screening. Driver's license numbers are used to run a driving screen, part of our background screening process. Your information is transmitted securely directly to a password protected database and not via email.


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

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.

Emergency Contact


I understand that by submitting this application form I will undergo a background screen, reference checks, and driver's license screen prior to being admitted into volunteer training. Volunteers must undergo a TB screening. I acknowledge that I am not formally a Tidewell Volunteer until Volunteer Orientation is completed and all required paperwork is signed. I also understand that my background screen results must be received by Tidewell before I begin volunteer duties.