Volunteer Application – Hospice of Michigan

Contact Information

Select the location where you would like to volunteer. *

Legal First Name *

Middle Name

Legal Last Name *

Date of Birth

Select from calendar

Street Address *

City *

ZIP *

Email *

Preferred Phone *

Emergency Contact *

Emergency Phone *

Relationship

PLEASE SHARE WITH US

Do you have previous hospice and/or hospice volunteer experience? What do you hope to gain from your volunteer experience? Please describe below.

Volunteering areas of interest

Working directly with patients

Working in the office (not with patients)

Working on special events and fundraising events

Grief support

Describe other skills and interests. *

Have you experienced the loss of someone close to you in the past 12 months? *

Yes

It is Hospice of Michigan's policy to require a one-year waiting period for volunteer applicants who have experienced the loss of a loved one. If someone close to you has died, we are very sorry about your loss. We recognize that you have a lot to offer as a volunteer and we look forward to connecting with you after the waiting period.

If yes, please describe your loss here. (Optional)

Have you served in the military?

Yes

If you'd like to upload your resume please do so here.

Maximum file size: 234.88MB

If you are human, leave this field blank.