Tanner Medical Center Hospice Care Volunteer Application
Please complete the application then click the Submit button. For questions please call 770-214-2355
* — Required information

Sunday Monday Tuesday Wednesday
Thursday Friday Saturday

I'm available to volunteer evenings

Identified Areas of Interest

In Home In Facility Transportation
Personal Care Meal Delivery Alternative Therapies
Caller Home Visits Support Group Co-Facilitator
Transportation Office and Clerical Memorial Service Committee
Clerical Fundraising Mailings
Events Marketing Data Entry

Death and Dying

I do not think about my own death
Sorrowful Natural Frightening Painful
Lonely Joyful Heavy Peaceful Dark

Code of Ethics for Volunteers

As a volunteer, I realize that I am subject to a code of ethics similar to that which binds the
professional in the field in which I work. I, like them, assume certain responsibilities and expect
to account for what I do in terms of what is expected of me.

I understand that any information that is disclosed to me while assisting the hospice is confidential.

I interpret "volunteer" to mean that I have agreed to work without compensation in money. Having been accepted
as a volunteer worker, I expect to do my work according to the standards set forth in the Volunteer Policies
and Procedures.


I hereby certify that the statements made on this application are true and correct to the best of my knowledge.
I understand that, by submitting this application, I authorize inquiries to be made concerning my employment,
character, and public records for the purpose of determining my suitability as a volunteer. I affirm that
I have read the volunteer Code of Ethics and agree to abide by its regulations. I agree to respect the
confidentiality of any client information I acquire in the course of my volunteer activities within hopsice.

By submitting this application you agree to the Code of Ethics.

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