What languages other than English do you write and/or speak with ease? Are you willing to in a setting with smokers? Are you willing to in a setting with pets? Do you have an interest in supporting our community hospice clients who are experiencing homelessness or who are vulnerably housed? Are you willing to serve in a residential hospice setting where clients may be coping with addiction and mental illness in addition to a life-threatening illness? Are you interested in supporting fundraising events in the community? Do you have an interest in working with children: If yes, what experience do you have being or working with children? Describe the skills or interests you would be able to share with hospice clients and/or their caregivers: Is anything else you would like us to consider when matching you with a suitable volunteer role? Personal References: (Friend, Volunteer or Work related) These individuals must be over 20 years of age, should have known you for more than 2 years and may not be a partner, spouse, family member or your therapist/social worker. Reference #1 Relationship: Name: Telephone: Best time to reach: E-mail: Reference #2 Relationship: Name: Telephone: Best time to reach: E-mail: Signature: ____________________________ Date:
What languages other than English do you write and/or speak with ease? Are you willing to in a setting with smokers? Are you willing to in a setting with pets? Do you have an interest in supporting our community hospice clients who are experiencing homelessness or who are vulnerably housed? Are you willing to serve in a residential hospice setting where clients may be coping with addiction and mental illness in addition to a life-threatening illness? Are you interested in supporting fundraising events in the community? Do you have an interest in working with children: If yes, what experience do you have being or working with children? Describe the skills or interests you would be able to share with hospice clients and/or their caregivers: Is anything else you would like us to consider when matching you with a suitable volunteer role? Personal References: (Friend, Volunteer or Work related) These individuals must be over 20 years of age, should have known you for more than 2 years and may not be a partner, spouse, family member or your therapist/social worker. Reference #1 Relationship: Name: Telephone: Best time to reach: E-mail: Reference #2 Relationship: Name: Telephone: Best time to reach: E-mail: Signature: ____________________________ Date: