Percy’s Place Hospice Shop Volunteer Application
Thank you for your interest in joining our volunteer team at the Percy’s Place Hospice Shop. Our shop plays a vital role in supporting hospice care in our community.
Section 1 – Contact Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact (name)
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Section 2 – Availability
What days of the week are you available to volunteer? (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times of day are you typically available? (check all that apply)
*
Morning (9am – 12pm)
Afternoon (12pm – 4pm)
Evening (4pm – 7pm)
How many hours per week would you like to volunteer?
*
Less than 4 hours
4–8 hours
8–12 hours
12+ hours
When are you available to start volunteering?
*
-
Month
-
Day
Year
Date
Section 3 – Interests and Roles
What type of volunteer roles are you most interested in? (check all that apply)
*
Sorting and pricing donations
Merchandising and store displays
Customer service and cash desk
Donation receiving and intake
Cleaning and organizing
Social media or promotions
Event support or special fundraisers
Other
Do you have any retail, customer service, or volunteer experience?
*
What skills or strengths do you bring that you feel would help the Hospice Shop?
*
Do you have any physical restrictions or accommodations we should be aware of?
*
Yes
No
Are you volunteering as part of a school, group, or organization?
*
Yes
No
Section 4 – Agreement and Confirmation
Are you over 16 years of age?
*
Yes
No
I understand that all volunteers represent Percy’s Place Hospice and agree to uphold its values of compassion, respect, and community service.
*
Yes, I agree
I consent to be contacted by Percy’s Place Hospice staff or volunteer coordinators regarding my application and upcoming opportunities.
*
Yes
No
Signature
*
Continue
Continue
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