Hospice Volunteer Application

Hospice Volunteer Application

    Volunteer activities may require the use of a vehicle. A current Pennsylvania Driver's License and proof of insurance will be required.
    Direct Patient Contact: This includes such activities as: companionship, socialization, running errands, light housekeeping, meal preparation, transportation, emotional support, etc.
    Administrative Tasks: This includes assembling mailings, writing condolence cards and special projects.
    Bereavement Support: This is accomplished through viewings at funeral homes and outreach to the families.
  • Please provide two references (no relatives) that you have known at least one year.
  • I understand as a volunteer I will not be entitled to monetary compensation for the work I perform or be entitled to Worker's Compensation or Group Benefits in the event of an injury. As a volunteer, I realize that I am subject to a code of ethics similar to that which binds the professionals in the field in which I volunteer. I understand that any information that is disclosed to me while assisting as a Hospice Volunteer is confidential.

  • If you have any questions or need
    additional information, please contact:

    Julie Maceikis
    Volunteer Coordinator for Western PA

    Donna Miller
    Volunteer Coordinator for Central and North Central PA

    Marty Carr
    Volunteer Coordinator for Northeast PA

    Lori Schmoll
    Volunteer Coordinator for Missouri

    Sarah Spencer
    Volunteer Coordinator for Southern IL

    Leslie Rheinecker
    Volunteer Coordinator for Southern IL

  • Please return form by submitting button below or mail to:
    Hospice Volunteer Program
    Celtic Healthcare, Inc.
    150 Sharberry Lane
    Mars, PA 16046
    FAX: 724-625-4288