Volunteer at Camp Good Grief - Hospice Care Options

Camp Good Grief

General Information

Name(Required)
Mailing Address
MM slash DD slash YYYY
Education
Name of School
Years Attended
Diploma/Degree Received
 
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Employment
Company Name/Position Held
Address
Phone
 
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References
Name/Relationship
Address
Phone
 
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Bereavement History

References
Hospice?
Relationship to deceased
Date of death
Your age at time of death
Type of death
Cause of death
Onset
 
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Type: Accident, Natural, Homicide, Suicide, Other, War
Onset: Sudden [within one week], Delayed, Rapid [within six months]
Would you be able to attend all three days of camp?

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 Hospice Care Options 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 inquires 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 that confidentiality of any client information I acquire in the course of my volunteer activities with Hospice.
(By placing my name in the below box I agree to abide by the Code of Ethics and declarations above.)