Volunteers are the Heart of LifePath Hospice. Thank you for expressing an interest in volunteering at LifePath Hospice! Please fill out the form below, using the tab key to continue to the next field. Please review your information carefully before submitting, and a volunteer coordinator will contact you. Please note that all volunteers are subject to criminal background checks.

(*Indicates required field.)

Name*:
Home Phone*:
Alternate Phone:
Address:
Suite or Apt. #:
City*:
State:
Zip Code:
E-mail Address*:
Best Time to Call:
Preferred Method of Contact:
Have you experienced a recent loss in your life?	Y   N
Please describe, if you feel comfortable.
How did you hear about LifePath Hospice?
Check all volunteer opportunities in which you are interested:
Patient/Family Companionship
Visitation in local care facilities
Specialty Services (hair/nail care, licensed massage therapist must be FL licensed)
Grief Support
Office Support
Children's Grief Center
Thrift Store
Special Events
Community Awareness
Speakers Bureau
Other talents you may wish to share
What is your preference for training times?	Select Day Evening Saturday
Use this area to write any additional information you wish to include with your intake form.