Thank you for your interest in becoming a volunteer for Community Care Hospice, an affiliate of Ohio's Hospice. Please complete the following application form. Fields with an asterisk (*) are required.
In the event of an emergency who should we notify?
Please list two personal references. References should have personal knowledge of your qualifications to volunteer and can NOT be related to you.
Briefly explain your interest in volunteering with Community Care Hospice.
Please list any special skills or training you are willing to share with us.
Please list volunteer service to other organizations in the last five years.
The following are required to volunteer with OHI:
OHI retains the right to verify all information provided by me. In the process of such verification, I fully authorize OHI to contact any person, school, organization, or employer listed to disclose all information necessary to verify information or statements. I release all persons who disclose such information from any liability or damages to me or anyone acting in my name. I waive any written notice of the release of such information that may be required by any state or federal law. Any falsification, misrepresentation, or omission, whenever discovered, shall be considered legitimate and sufficient grounds for dismissal.
Volunteering with OHI is at-will. This means that I may stop volunteering at any time. Similarly, OHI may terminate my volunteering at any time, with or without cause.