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Volunteer Application
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FAQs
Referrals
Foundation
Contact Us
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Volunteer Application – Magnolia Hospice
Apply Today
Thank you for your interest in volunteering with Magnolia Hospice. The following information helps provide us with a clear understanding of your skills and interests, and will help us when making volunteer assignments. Magnolia does not discriminate in volunteer recruitment, training, or assignment practices based on race, color, creed, gender, national origin, disability, marital status, sexual orientation, or age.
Location to Apply to
Arlington, TX
Austin, TX
College Station, TX
El Paso, TX
Plano, TX
First Name
Last Name
Cell Phone
Birth Date
Email Address
Address
City
State
Zip Code
Volunteer Information
Please note that your volunteer eligibility and authorization to work in the U.S. will be verified.
Describe any past volunteer history and/or licenses/certificates you hold:
What draws you to volunteer with hospice?
Criminal Background Inquiry
Have you ever been convicted of a crime, other than a minor traffic offense, or pled no contest to a crime?
Yes
No
If yes, please explain.
Emergency Contact
Name
Home Phone
Work Phone
Address
Relationship to You
“I certify that the facts contained in this application are true and complete and to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information they may have, personal or otherwise, and release all parties from all liability for damage that may result from furnishing same to you.”
CCS is an EOE and provides services without regard to race, color, national origin, sex, religion, age and disability.
Signature
Date
Submit