Thank you for your interest in interning with Fairview Hospice. Volunteers are an important part of our care team, and we appreciate your willingness to consider sharing your time and talents with us.

Please complete this application form if you are interested in becoming a Fairview Hospice Volunteer Department Intern.
1. Review the application first to make sure you have all the required information available before you start.
2. Fill out the application completely as you cannot return to the form to complete it later.
3. When complete, click the "Continue" button at the bottom.
4. Return to our website and print two reference forms to be completed by your professional references.

Information collected is being transmitted via a secure connection using SSL and will only be used to process your volunteer application.

Name & Address

Emergency Contact Information

In the event of an emergency whom should we contact?

Demographic Information

You must be at least 18 years old to volunteer.


Skills & Experience


A minimum commitment of 10 hours of service per week is required. Hours will be scheduled between 8:30 am-5:00 pm Monday-Friday. Please indicate the days and times you are usually available to volunteer.

Terms and conditions for applying

The information submitted in this application is true and accurate to the best of my knowledge. If approved for consideration, I understand I will be expected to abide by the policies and standards of Fairview Home Care and Hospice. Prior to placement in an internship position, I understand that I will have to attend a new volunteer orientation, submit a background study form as required by law, and complete a pre-placement interview and health screening.