Volunteer Application

In order to better serve our patients and their families, this application was developed specifically for our hospice program. Some of the questions may seem personal or private, however this information has proven to be most helpful in making volunteer assignments.

If you have recently experienced a significant loss, we would encourage you to wait a period of at least one year prior to volunteering with us, in order to focus on your own healing.

How to Submit Your Application:



Download and complete the application and attach it to the form below. Then press "Submit."



Print out the application and mail it to the Volunteer Coordinator at  the office of your choice. 

Indianapolis Office

South Bend Office

Ann Arbor Office

Bay City / Saginaw Office

Flint Office

Grand Rapids Office

Kalamazoo Office

Lansing Office

Marysville Office

Troy Office

Akron Office

Cincinnati Office

Columbus Office

Dayton Office

Mentor (East Cleveland) Office

Middleburg Heights (West Cleveland) Office

Toledo Office

Youngstown Office

Austin Office

San Antonio Office

Norfolk Office

Richmond Office

Williamsburg Office

Milwaukee Office