Professional Services On-Line Application

Note: If you prefer you can print the application and mail it to: Hospice of the Foothills, Attn: Volunteer Coordinator, 11270 Rough and Ready Highway, Grass Valley, CA 95945

Thank you for considering Hospice of the Foothills as an opportunity for volunteering.

We appreciate the time and thought involved in completing this application.

I, the applicant, understand that Hospice of the Foothills expects a one year commitment to serve a maximum of one 4-hour shift per week. I understand that attendance at weekly Patient Support Volunteer Team Meetings and monthly in-services (continuation training) are important to effective service.

I further understand that it is the policy of Hospice of the Foothills to perform background checks on all volunteers associated with this agency. Also required will be a health exam provided by our agency physician and TB testing both to be at the expense of this agency. Proof of California Driver’s License and liability insurance may also be required.

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