• Personal Information

  • Format: (000) 000-0000.
  • Are you fully vaccinated with the COVID-19 vaccine? Please note that volunteering at Angela Hospice requires COVID-19 vaccination.
  • I am available to attend class during the:*
  • I became aware of the Angela Hospice volunteer program through:*
  • Employment Status*
  • Format: (000) 000-0000.
  • Have you experienced a personal loss within the past year?*

  • Federal Information

  • Are You Over the Age of 18?*
  • Are You a U.S. Citizen?*
  • Do You Have the Legal Right to Work and Remain in the United States?*
  • Have You Ever Been Convicted of a Felony?*

  • Thank you for your interest. Unfortunately, due to your previous conviction, you will not be able to qualify for our volunteer program. Thank you for your understanding.

  • Education

    Please check last year completed:

  • High School
  • College/University
  • Post Graduate

  • Veteran Status

  • Are you a veteran?*

  • Volunteer Interest 

  • Do you have a preference of where you would like to volunteer?*

  • Volunteer History

  • Personal References

    Do not include relatives

  • Authorization and Understanding

    PLEASE READ CAREFULLY

  • By clicking submit, I agree that all of the information now or later given by me in support of my application for the Angela Hospice Volunteer Program is true and complete. I give you my permission to contact the above listed personal references to verify my suitability for participation as a volunteer. By submitting this application, I release you and them from any liability whatsoever arising out of any information request or disclosure. I agree that any false information in support of my application may subject me to discharge at any time during my participation in the Program.

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