Please use the form below to apply to be a Blessing Hospice volunteer. If you prefer to print and mail in your application, please use this print-friendly application.

Volunteers must complete the volunteer training program, pass a criminal background check, adhere to federal patient privacy and confidentiality guidelines (HIPAA) and have CSI (Caring-Sharing-Inspired) skills.   The following vaccines are required to be a volunteer; Flu, MMR, Covid and TB screening. After training and annual education is completed, please commit to at least one year of service.

Volunteers are needed in Adams, Brown, Hancock, Pike, and a portion of Henderson Counties.

For questions regarding Blessing Hospice’s volunteer program, please call, (217) 228-5521.

(ex: music talent, hair sylist, juggler)

Non-relative

Non-relative

Declaration and Authorization

I certify that all information that I have provided to you is true, accurate and complete.  I authorize you to contact my named references to seek information from them that may be relevant to my application for volunteer service. I release them and Blessing Health System from any/all liability for any damages whatsoever that may occur as a result of this exchange of information. I understand that all work with Blessing Hospice and Palliative Care and its patients are of a confidential nature and that all of my volunteer services are performed without compensation. I have read and understand the ICARE standards. Submitting this application serves as your electronic signature on the application and states you are agreeing with the statements above.

CAPTCHA
Image CAPTCHA

Enter the characters shown in the image.