“Congratulations and thank you for choosing to devote your precious time and energy to Delaware Hospice and its mission to serve the community.”

Volunteer Application
Please complete and submit this form or contact the following people if you are interested in becoming a Delaware Hospice volunteer or would like more information:

Jessica Whitehead - volunteerwilmington@delawarehospice.org
In Wilmington (302) 478-5707 x1105

Judy Knutstad - volunteerdover@delawarehospice.org
In Dover (302) 678-4444 x2117

Mary Costello - volunteermilford@delawarehospice.org
In Milford (302) 856-7717 x4120

Required fields are marked with a*
Check the office location nearest you:

Wilmington Office
3515 Silverside Rd.
Wilmington, DE 19810
(302) 478-5707
Fax: (302) 479-2586		 Dover Office
911 South DuPont Highway
Dover, DE 19901
(302) 678-4444
Fax: (302) 678-4451
Milford
Delaware Hospice Center
100 Patriot's Way
Milford, DE 19963
(302) 856-7717
Fax: (302) 422-7315
* Last Name:
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* First Name:
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MI
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Nickname:
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* Home Phone:
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Work Phone:
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Cell Phone:
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* Address:
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Apt. #
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* City:
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*State:
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* Zip:
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Email Address:
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Emergency Contact
Name:
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Relationship:
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Telephone Number:
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Employment, Education and Volunteer Experience
* Are you currently employed?
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Occupation
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Employer Name (Current or Previous)
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Last Grade Completed:
High School:
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College:
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College Major:
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Have you previously served as a volunteer?
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If yes, with whom:
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Description of Service
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Please Check Your Skills and Preferences











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Availability
Please check the boxes below for the days and times you are most often available to volunteer.
Morning
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Afternoon
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Evening
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How did you hear about our volunteer Program?
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Reason for Volunteering with Delaware Hospice
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Personal Reference
Name:
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Address:
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Phone:
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Relationship:
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 Delaware Hospice is accredited by The Joint Commission. Read Statement
3515 Silverside Rd. Wilmington, DE 19810      1-800-838-9800