Hospice Volunteer Application

Hospice Volunteer Application

Update (July 2026): All current volunteer positions are filled. If you'd still like to be considered, please submit the form below, and we'll reach out when new opportunities open up.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you previously worked with Ridgecrest Regional Hospital?
Foreign Language(s) Spoken Fluently
I bring the following work/volunteer experience and skills:
Confidentiality and Commitment Statement

I understand and agree that in the performance of my duties as a volunteer at Ridgecrest Regional Hospital, I must abide by all policies and procedures, including to hold as strictly confidential all medical information that I may obtain directly or indirectly concerning patients. I understand that failure to comply with these requirements may result in my dismissal as a volunteer.

I am volunteering my services to Ridgecrest Regional Hospital solely for my personal purposes or benefit without promise or expectation of compensation or benefits. I agree to serve as a volunteer without salary for a period of 100 hours or more.
Signature
Today's Date

MonthDayYear
Date
Should be Empty: