Volunteer Application

To submit a volunteer application, simply fill out and submit the form below.

Alternatively, you can print this form, fill it out, and then fax it to 256-891-7754

Name (required)

Address (required)

Phone (required)

Email


Education
Schools & Degree

Employment History
Including dates and description of work

Volunteer Experience
Including dates and description of work

Professional Affiliation/Honors

Religious Affiliation

List any languages you speak

List any health problems or physical limitations

Are you willing to provide transportation?

Do you have car insurance?

Do you have a current Alabama Driver’s License?

Experience/Special Skills/Office Skills/Computer/Art/Music/Etc.

Why do you want to be a Shepherd's Cove Hospice volunteer? (required)

Categories of volunteer service (Required; Check all areas of interest)

Time available for volunteer work


Personal References (please list three)

Name Address Phone number