639 E. Speedway Blvd, Tucson, AZ 85705

Is it time for hospice care?

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Volunteers

What does a volunteer do?

Provide companionship to patients/families
Provide emotional support to patients/families
Assist office staff with office duties
Assist with program administration and development
Assist with bereavement education and support services
Collaborate with the team on patient/family status

How to become a volunteer

Complete an application
Pass a background check
Complete volunteer training which is online and in person

For more information or any questions,

please call us at (520) 833-2383

Step 1 of 4

25%

Name(Required)

Prefix First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Employment History/Education(Required)

Current Employment status

Full Time

Part Time

Retired

Have you ever been convicted of a crime in the past 5 years, barring employment in a Home Care and community support Agency?(Required)

Yes

Conviction will not necessarily disqualify an applicant from employment. If yes, describe in full.

Are the hours you're seeking as a volunteer needed to satisfy a "community service" requirement associated with a disciplinary action?(Required)

Yes

(Answering yes to the above does not constitute a bar to participate. Factors such as the date of the offense, seriousness and nature of the violation, rehabilitation and the type of volunteer assignment will be taken into account.)

Highest level of education completed:(Required)

Emergency contact name, address, and phone number:(Required)

Volunteer ability:

Availability(Required)

Year round

Seasonal

Specific months:

Specific months

Days available(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Time of day available(Required)

Hours available:(Required)

Have you experienced the loss of a loved one in the past 12 months?(Required)

Yes

If yes, what was the relationship?

Do you know a foreign language?(Required)

Yes

Languages

Do you have sign language skills?(Required)

Yes

Have you done other volunteer work before?(Required)

Yes

Are you active in any other organizations?(Required)

Yes

Do you have any special skills? (arts, crafts, cooking, baking, teaching, hairdressing, music, etc)

Military Service?(Required)

Yes

Branch of Service?

Do you have transportation with current valid insurance?(Required)

Yes

Have you ever been a caregiver to someone who died?(Required)

Yes

How did you learn about this volunteer program?

Assignment Preferences

Gender:(Required)

Male

Female

No Preference

Smoking(Required)

Smoker

Non-Smoker

No Preference

Pets(Required)

Pets

No Pets

No Preference

Areas of Interest (check all that apply)(Required)

Patient Support

Clerical/Administrative

Outreach

Bereavement

11th Hour

Other

Other Interests

Please tell us why you wish to become a hospice volunteer?

Please tell us what you feel hospice does for patients and families and how you feel about death/dying.

I certify that the information provided in this application are true and complete to the best of my knowledge and understand that, if accepted for a volunteer position, falsified statements on this application SHALL BE GROUNDS FOR DISMISSAL.

I authorize complete investigation of all statements contained herein and hereby give my full permission for Hospice in the Desert to contact and fully discuss my background and history with all persons and entities listed above to give Hospice in the Desert concerning my previous employment and any information they may have, and release all former employees and others listed above from all liability for any damage that may result from furnishing the same to Hospice in the Desert.

Full Name(Required)

Type your full name to certify this application

Date of Application(Required)

MM slash DD slash YYYY

Hospice in the Desert

Hours:
M-F 8:00 AM – 4:30 PM
(On-call staff are available after hours and on weekends)
Phone: (520) 833-2383
Address:
639 E. Speedway Blvd
Tucson, AZ 85705

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Home
Is it time for hospice?
What is Hospice?
Our Staff
Resources
Hospice Services
Volunteers
Employment
Hospice FAQs
Contact Us

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