Volunteer Services Application
Thank you for your interest in volunteering with us! Applicants may complete this online form to initiate the volunteer application process. In order to validate and submit the application for review by Volunteer Services, the applicant must complete all required fields, read the declaration statement, and select "I Agree" prior to submission. Please note that applicants must be at least 18 years of age.

Contact Information

Please provide your full name and contact information.


Demographics

Completion of this section is voluntary. No individual volunteer selections are made based on this information. There will be no impact on your application if you choose not to answer any of these questions.


Site Preference

Please indicate which service area you wish to apply for.


Emergency Contact Information

Please provide the name, city, and phone number(s) of the person you designate us to contact in case of an emergency.


Education

Please indicate your highest level of education.


Current Employment

If employed, please provide the name and city of your current employer. If you are not currently employed, you may leave this section blank.


Volunteer Opportunities

Please select all areas of interest. Note that volunteers interested in providing Reiki/Energy Work need to be Level III certified.


Languages

Please select any languages you speak other than English:


Availability

Please indicate the days and times you are available between Sunday and Saturday of each week. For days you are NOT available leave the start and end times blank.


References

Please provide two professional or personal references that we may contact (please exclude your significant other and/or family members).


How did you find out about volunteering with us?


Why are you applying to be a hospice volunteer?

Please tell us more about your motivation to volunteer with us.


Electronic Signature

Declaration: I hereby certify that I am the applicant and that the statements made on this application are true and correct to the best of my knowledge. I understand that by submitting this application I authorize inquiries to be made concerning my employment, a character and public records for the purpose of determining my suitability as a volunteer. As the said applicant, I further authorize a DMV and criminal background check according to the policy and procedures set for by Hospice By The Bay to ensure the safety of staff, patients, and patient family members. I agree to respect the confidentiality of any client information that is disclosed or shared with me for the purpose of, and in during the course of my volunteer activities with Hospice By The Bay.