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General Information

A valid driver's license is requested in order to run a criminal background check. Please make sure to fill in this information or your application process may not be completed. If you do not have a valid Driver's License, a State ID or Passport could be an alternative form of identification. This is a secured site and your information will not be shared.
Emergency Contact

Volunteer Interests

Please share with us in this section why you would like to be a volunteer and what you would like to do.

It is Hospice of Michigan's policy to require a one-year waiting period for volunteer applicants who have experienced the loss of a loved one. If someone close to you has died, we are very sorry about your loss. We recognize that you have a lot to offer as a volunteer and we look forward to connecting with you after the waiting period.

Per HOM policy and out of respect for individual grief journeys, applicants who have lost someone in the last 12 months are subject to additional screening by Volunteer Services team members . 

What is your primary volunteer objective?
Volunteering areas of interest.
If you served in the military, please indicate which branch of service.
When are you available? Check all that apply.

Personal References (Other Than Family)

1st Reference
Providing an email address will expidite the onboarding process.
2nd Reference
Providing an email address will expidite the onboarding process.

Criminal Background Check

Hospice of Michigan regrets that an individual who has been convicted of a felony, or who has charges pending, is not eligible to volunteer. Misdemeanor convictions will be assessed according to our Criminal Background Check Policy (available upon request).
THIS IS A SECURE WEBSITE. YOUR ANSWERS ARE CONFIDENTIAL.

Application Submission

I certify that the facts in this application are true and complete to the best of my knowledge and understand that falsified statements on this application may result in termination as a volunteer. I understand and agree that my volunteering is for no definite period and may be terminated with or without cause, at any time, with or without notice. I also understand that I must complete volunteer training before being given an assignment. I am willing to participate in Hospice of Michigan's ongoing in-service activities for volunteers. I certify that I am able to perform the essential duties of the volunteer position that I accept. In the event that I have a disability that will affect my ability to take an assignment, I will inform Hospice of Michigan prior so that reasonable accommodations can be made. Hospice of Michigan reserves the right to require medical documentation regarding the need for accommodation. I authorize investigation of all statements contained in this application. I release the listed references to provide you with any and all applicable information they may have. I hereby release these references from all liability for any information they may give to Hospice of Michigan.