Volunteer application

Volunteer Application

Areas of Interest

As a volunteer, I realize that I am subject to a code of ethics similar to that which binds a professional in the field in which I work. I, like them, assume certain responsibilities and expect to account for what I do in terms of what is expected of me.
I understand that any information that is disclosed to me while assisting Victory Home Health and Hospice is confidential.
Victory Home Health and Hospice performs a criminal background check for all potential volunteers and employees to ensure that the highest quality of care and consideration is shown to our patients and families.


I certify that the statements made on this application are true and correct to the best of my knowledge. I understand that by submitting this application I authorize inquiries to be made concerning my employment, character, and public records for the purpose of determining my suitability as a volunteer. I agree to respect the confidentiality of any patient information I acquire in the course of my volunteer activities with Victory Home Health and Hospice.

In addition to the above information I understand I will also need to submit criminal history information, and photograph consent forms.

I understand that if I am accepted as a Victory Home Health and Hospice Volunteer, I will be offered and required to complete volunteer training.

Thank you for your interest in the Volunteer Services program at Victory Home Health and Hospice. Volunteers play a vital role in providing hospice services to the community. Volunteers are greatly appreciated by patients, families, and staff of our agency.