Hospice Volunteer Dallas | Volunteer with Sunset Haven Hospice

First Name

Last Name

How may we contact you?

Phone

Do you check your email often?

Yes No

Best way to contact you

Phone Email

Tell us about yourself

Select Your birthday

Current occupation?

Employed Retired Student

Valid drivers license?

Yes No

Self-reliant transportation?

Yes No

Ever convicted of a crime?

Yes No

How did you hear about this volunteer opportunity at Star City Hospice?

Additional Information

Do you speak a language other than English?

Yes NO

What is your educational background?

What are your hobbies, interests, and skills?

Volunteer Skills and Interests

Briefly state why you would like to volunteer with Star City Hospice

Do you have any other volunteer experience?

Have you had any experience with the terminally ill?

Yes No

Due to the sensitive nature of hospice care, Star City Hospice seeks volunteers that have not lost a loved one in the past year. Has it been a year or more since the loss of a loved one?

Yes No

References Please list two personal references (excluding family members)

Reference 1

Reference 2

It is the policy of Star City Hospice to provide service to clients and their families without consideration of race, ethnic background, sexual orientation or religion. Do you have any reservations complying with this policy?

Yes No

Agreement

I understand that the information provided in this application to Star City Hospice is part of the permanent volunteer file at Star City and is only available to authorized Hospice staff and volunteers. I understand that if I am accepted as a volunteer with Star City Hospice I am agreeing to attend volunteer support and education sessions provided by Star City Hospice and abide by the policies and procedures of Star City Hospice. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Star City Hospice permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release Star City Hospice from any liability as a result of such contact. I also understand that Star City Hospice requires pre placement drug testing, background check/finger printing, and TB testing and consent to and compliance with such policy is a condition for acceptance as a volunteer.

Compassionate Hospice
Care with Dignity, Respect
& Support

Volunteering That Truly Makes a Difference

Join a Community of Compassion

Book A Free Consultaion

Compassionate Hospice Care with Dignity, Respect & Support

Volunteering That Truly Makes a Difference

Join a Community of Compassion

Book A Free Consultaion

Compassionate Hospice
Care with Dignity, Respect
& Support