A compassionate approach.

Committed to caring for the whole person.

Hospice Volunteer Opportunities - Hospice and Palliative Care

Hospice – a special kind of care

Franciscan Hospice and Palliative Care (FHPC) invites you to join us as a volunteer, enhancing the compassionate care we provide to patients and families.

FHPC was founded to affirm every life and find meaning until one's death.

We work together as a team of professionals and volunteers to discover and meet the unique needs of hospice patients and their families, providing them with both practical and emotional support.

Qualified volunteers must:

Be available to volunteer up to four hours a week for one year
Have the ability to listen with empathy and without judgment
Have respect for all people no matter their creed, culture, gender or lifestyle
Maintain confidentiality
Complete the screening, training, reporting and ongoing education required of all volunteers

Contact us to learn more about volunteering

King County Volunteer Office
emilymunn@chifranciscan.org, 206-965-2907

Kitsap County Volunteer Office
arleneolson@chifranciscan.org, 360-744-7800

Pierce County Volunteer Office
jamesbentley@chifranciscan.org, 253-538-4649

Volunteer Application

Basic Information

*Denotes mandatory fields

First Name:

Last Name:

Birthdate:

Street Address:

City:

Zip Code:

Email:

Home Phone:

Work:

Cell:

Emergency Contact:

Relationship:

Contact Phone:

How did you learn about CHI Franciscan Hospice and Palliative Care?

Newspaper, magazine ad

Flyer

Online

Other

What are you interested in doing as a volunteer for CHI Franciscan Hospice?

What do you hope to gain from your volunteer experience?

Have you experienced a significant loss or stressful circumstance in the past year?

Yes

If yes, please explain:

Please list any volunteer or work experience that you think is related to this hospice opportunity:

Have you or your spouse served in the U.S. military?

Yes

Do you speak any languages, other than English? If so, which?

What are your hobbies or interests?

Please list any physical or health limitations that should be considered when placing you with hospice patients:

Are you willing to transport patients or family members?

Yes

I affirm that the information provided on this application is true and complete
I understand that this application does not guarantee a volunteer placement
I understand that as a Volunteer I may not accept payment for my services and that I will incur the cost of my own transportation to and from assignments. If I incur a toll bridge cost related to my volunteer services I may seek reimbursement for that cost.

Required volunteer Immunization

Two step TB skin test (one within the last 12 months and one within the last three months) or signed waiver showing you are eligible for exemption.
Verbal acknowledgement if you have or have not had Chicken Pox

Note: Chest X-Ray (if needed) will not be charged to the volunteer. If you fail to have your TB skin test read on time, repeat TB Skin Tests will be at volunteer's expense

Flu vaccination within the past 12 months

Child and Adult Abuse Information Act

In 1987, the Washington State Legislature passed the Child and Adult Abuse Information Act. This law requires that all employees and volunteers hired on or after January 1, 1988, who will or may have unsupervised access to and who will or may be directly responsible for the care, supervision, or treatment of children or developmentally disabled persons, must make a written disclosure of certain civil adjudications, conviction, records of a crimes against persons and for licensed personnel, disciplinary board final decisions. Background inquiries on these matters may be made to the Washington State Patrol or to other state or federal law enforcement agencies. If the background inquiry is negative, you will be contacted regarding status of volunteering. If satisfactory, your application will be processed as normal.

In compliance with this law, we are required to obtain disclosure statements from newly hired employees and volunteers as outlined above. All information obtained will remain confidential. It is a condition of volunteering that this information be provided.

1. A crime against persons includes any of the following offenses: aggravated murder; first or second degree murder; first or second degree kidnapping; first, second, or third degree assault; first, second, or third degree rape; first, second, or third degree statutory rape; first or second degree robbery; first degree arson; first or second degree manslaughter; first degree burglary; first or second degree extortion; indecent liberties; incest; vehicular homicide; first degree promotion prostitution; communication with a minor; unlawful imprisonment; simple assault; sexual exploitation of minors; first or second degree criminal mistreatment; or any of these crimes as they may be renamed in the future.

Yes

2. Have you ever been found guilty in a disciplinary action, domestic relations proceeding or disciplinary board final decision, to have sexually assaulted or exploited a minor or to have sexually abused a minor?

Yes

3. Have you been arrested or convicted of an offense within the past seven (7) years?

Yes

4. Have you been released from prison within the past seven (7) years?

Yes

If any of your answers are yes, please describe and provide the date(s) of the finding(s) and any penalties imposed. A "yes" answer to any of these questions will not necessarily bar an applicant from volunteering.

We require your legal name and birth date to obtain from the Washington State Patrol criminal identification system, a report of your record and criminal convictions for offenses against persons, civil adjudications of child abuse and disciplinary board final decisions. A thumbprint may be required to later verify information received from the State Patrol. We will make a copy of the report available to you upon your request.

UNDER PENALTY OF PERJURY

I certify that the above information is true, correct, and complete. I understand that I can be discharged from volunteering for any misrepresentation or omission in the above statements. I also understand that my volunteer status is conditioned on your receipt of a satisfactory report from the Washington State Patrol.

Applicant's First Name:

Applicant's Last Name:

Alias/Maiden Name:

Date of Birth:

Sex

Male

Female

References

Please list 3 references with complete addresses including name, address, city, state, zip code, day and evening phones, and email. These references need to come from people outside your family that you have known for at least a year. (Those under 18 years of age must choose at least two adults outside their family)

Reference #1

Name:

Street Address:

City:

Zip Code:

Email:

Relationship to you?

Best Phone Contact Number:

Reference #2

Name:

Street Address:

City:

Zip Code:

Email:

Relationship to you?

Best Phone Contact Number:

Reference #3

Name:

Street Address:

City:

Zip Code:

Email:

Relationship to you?

Best Phone Contact Number:

Please note: This form will reload after you have hit Submit. Although you will not receive a confirmation, your information will be sent to the appropriate person. There is no need to fill out the form again.