Delaware Hospice - Volunteer Application

“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:

Tina Gaffney - 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

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*Employment, Education and Volunteer Experience*
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*Please Check Your Skills and Preferences*
Helping Patient/Caregivers in the Home Helping at the Delaware Hospice Center Helping Patient in Nursing Home Community Events/Marketing Public Speaking/Motivational Speaking Mailings/Special Projects Filing/Medical Records Computer Skills/Data Entry Errands/Transportation Fundraising Working with bereaved children Invalid Input

*Availability* Please check the boxes below for the days and times you are most often available to volunteer.
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How did you hear about our volunteer Program?
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*Personal Reference*
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Delaware Hospice is accredited by The Joint Commission. Read Statement

3515 Silverside Rd. Wilmington, DE 19810 1-800-838-9800