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:
 

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. 

 

  

Resume, if available
Your full legal name
Date of Birth
Address
City
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Zip code
Home Telephone
Cell Phone
Email Address
Why Niagara Hospice?
Previous criminal conviction?	Yes  No
Date you can start?
Education
Work Experience
Volunteer Experience
Military Service
Do you drive?	Yes  No
Do you have a car?	Yes  No
Interests	Hospice House Northgate Visits David's Path Visits Home Visits Transportation Legacy Recordings Pet Visits Camp Hope Spiritual Care Vigil Team Bereavement Speaker's Bureau Special Events Memorial Gardens Hair Stylist Musician Arts and Crafts Cooking/Baking Office Support Minor Home Repairs Veteran-to-Veteran
Locations	Countywide Lockport/Pendleton North Tonawanda Niagara Falls Barker/Somerset Ransomville Lewiston/Youngstown Wilson/Porter Newfane/Olcott Sanborn/Wheatfield Middleport/Gasport
Availability: M
T
W
Th
F
S
Su
Health Status
Health Restrictions
Licenses
Certification	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.

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