Volunteer Application

To apply as a volunteer, please complete the form below.

Foundation Volunteer Application

First Name

Last Name

Address

Apt #

City/Town

Province

Postal Code

Telephone:

Phone Home

Phone Cell

Email:

Email Home

Email Other

Volunteer Location

Briefly, state why you would like to volunteer with Saint Elizabeth Foundation?

Have you previously taken Hospice Training?

Yes

If yes, when, where?

Do you speak a language other than English?

Yes

If yes, please state language or languages spoken

Working with the dying and bereaved may trigger our own loss history. Have you had a person close to you die within the last year?

Yes

It is the policy of Saint Elizabeth to provide service to individuals and their families without consideration of race, ethnic background, sexual orientation, or religion.

Do you have any reservations about complying with this policy?

Yes

REFERENCES

Volunteer Applicants are requested to provide 2 Character References as part of their application. Our process is to email the reference questionnaire to the people providing the reference.

Personal References:

Name

This is an application to volunteer with the Saint Elizabeth Foundation Programs for which there is no monetary compensation.

I understand that the information provided in this application:

Is part of the permanent volunteer file at Saint Elizabeth Foundation.
Is kept confidential in secure storage and only available to authorized staff and volunteers
Will be used to assist Saint Elizabeth in completing its volunteer screening process
May be used for educational or evaluative means without providing any indicators

I also understand that if I am accepted as a volunteer with Saint Elizabeth Foundation I am agreeing to:

Fulfill the training requirements respective to the volunteer role
Attend related volunteer support & education sessions provided by Saint Elizabeth
Abide by the policies and procedures of Saint Elizabeth Foundation Programs

Signature

Date

Thank you for your interest in Saint Elizabeth Foundation Programs