Hoffmann Hospice

Volunteer Application

Volunteer Application

Become a valued member of our team by volunteering at Hoffmann Hospice, where your compassion and time can make a significant difference in the lives of our patients and their families.

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Are you 16 years of age or older?
Name
Address

Employment / Work History

Education

Currently Attending School
Do you have Future schooling plans?

Personal References

Reference 1

Name
Address

Reference 2

Name
Address

Reference 3

Name
Address

Emergency Contact

Name
Address
Do you have a reliable means of transportation?
Do you have Liability Insurance?
Volunteer Availability
(Select all that apply)

Relevant Background

If yes, please explain.
Have you experienced any deaths in your family or of those close to you?

Health Status

Describe your health
Have you received a Tuberculosis (TB) screening within the past 90 days?
Areas of Interest
Please list any languages you write or speak
Please Name Instrument
Please list any professional skills
Please list any administrative skills
Are you able to make a six-month to one-year commitment to Hospice volunteering?

In submitting my application as a prospective volunteer for Hoffmann Hospice, I authorize the agency to contact employers and references provided and to gather other information as appropriate to determine my suitability to serve in such a capacity.

Name

Your Comfort is Our Priority

Our team is available 24/7 to answer your questions, and ensure all your hospice care need are met with empathy and expertise.

Dignity Health Mercy & Memorial Hospitals
CHAPCA - California Hospice and Palliative Care Association
Department of Health & Human Services - Medicare Certified
National Hospice and Palliative Care Organization
CHAP - Community Health Accreditation Program
The American Academy of Bereavement
Seal of Transparency Platinum GuidStar