Volunteer Application 

Please take a few moments to fill out the below application. Then click submit and your application will be emailed directly to our Volunteer Department. You will receive an email confirming your application was received and someone from the Volunteer Department will contact you about your interests and upcoming volunteer training dates. If you are unable to complete the application below, you may download an application here and mail your application to:
 
     Niagara Hospice
     Attn: Volunteer Services Department
     4675 Sunset Drive
     Lockport, NY 14094
 
Thank you for your interest in helping Niagara Hospice further its mission of providing the right care, in the right place, at the right time. 
 
  
  
I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT IF ACCEPTED AS A VOLUNTEER, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS QUALIFICATIONS AND ANY PERTINENT INFORMATION THEY MAY HAVE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU. I UNDERSTAND AND AGREE THAT, IF HIRED, MY VOLUNTEERING IS FOR NO DEFINITE PERIOD AND MAY BE TERMINATED AT ANY TIME WITHOUT PRIOR NOTICE AND WITHOUT CAUSE.
 
Niagara Hospice, Inc. and Affiliates comply with all applicable federal, state and local laws and regulations in that no person shall, on the grounds of race, color, creed, religion, sexual orientation, national origin, age, sex, marital status, blindness, source of payment or sponsorship, or disability, be excluded from participation in, be denied benefits of, or otherwise be subjected to discrimination under any program, service, employment relationship or activity offered. 

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