Volunteer Application Form

Thank you for applying to volunteer with Haven Hospice!  Please complete the application by clicking continue and someone will be in touch with you to discuss the next steps to joining the team.


Name and Address

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


What brings you to Haven to Volunteer?


Primary Assignment

Select the Team(s) where you would like to volunteer and which assignments you are interested in supporting.  We will discuss these options with you when we speak with you.  



Special Skills and Experiences

Please select as many of these interests you may want to share when volunteering at Haven!



End of Life Experience

If you have experienced the loss of a loved one, it is recommended that you do not volunteer directly with patients for 12 months after the loss. If you have suffered a loss, please share the details here.



What is your availability


Are you a permanent resident in this area?

Please include the months you are available to volunteer.



Are you a student, if so which school?


References

Please include three references we can contact (no family members, please)



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.