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Volunteer Application

Thanks for your interest in volunteering for Appl Orchard Hospice. Volunteers are an integral part of the hospice team, filling roles that range from direct contact with patients and providing clerical.

Volunteer Requirements

  • Must be 18 years old
  • Provide own transportation
  • Friendly personality
  • Flexible availability
  • Willing to meet new people
  • Complete basic hospice education provided by staff

Submit a Background Check Agreement Form

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  • Personal Information

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  • Educational Background

  • Professional License or Membership

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  • (You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.)

  • Record of Conviction

  • (Driving under the influence of drugs or alcohol is not considered a minor traffic offense.)

  • Employment

  • Max. file size: 300 MB.

  • Professional Reference

  • Personal Reference

  • Personal Reference

  • Appl Orchard Volunteer Interest Sheet

    Thank you for your interest in becoming a volunteer. The following information is meant to give us an understanding of your interests and abilities.

    Areas of Interest

    I am interested in: (Please check all that apply)

  • I certify that all the information submitted by me on this application is true and complete and I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and condition of my employment may be changed, with or without cause and with or without notice, at any time by the company. I understand that no company representative, other than it’s Administrator, and then only when in writing and signed by the Administrator, has any authority to enter into any agreement for employment or any specific period of time, or to many any agreement contrary to the foregoing. I also acknowledge that I am consenting to a criminal background check with my signature.
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