Volunteer Application

YES! I wish to submit my Volunteer Application and support our independent, non-profit community hospice.
  • High School:Graduated: Yes or No 
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  • College:Area of Study or Degree Earned:Graduated: Yes, No or In-progress 
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  • Please note: If you have ever been convicted of a crime other than a minor traffic violation, you may not be eligible to volunteer with Hospice. All volunteer candidates are required to complete a background check and fingerprinting.
  • From - Month/YearTo - Month/YearEmployer Name, City, StateLast Position Held 
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  • From - Month/YearTo - Month/YearEmployer Name, City, StateLast Position Held 
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  • Volunteer Applicant Name:Date: 
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    I affirm that all the information provided here is correct to the best of my knowledge. I understand that the information I have provided will be kept confidential.
  • Contact Information:

    Hospice of Lansing Administration Office: 3186 Pine Tree Road Lansing, MI 48911 Phone: (517) 882-4500