Areas of Interest
References
Please feel free to submit a resume with your application and enclose copies of special licenses and/or professional awards. Return this form and any other related materials to:
Hospice of Montgomery
Attn: Clara Jehle, Volunteer Coordinator
1111 Holloway Park
Montgomery, AL 36117
All volunteers are expected to attend the volunteer training program as a basic qualification
Application Certification Agreement
I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I agree that Hospice of Montgomery shall not be liable in any respect if my volunteer position is terminated because of the falsity of statement, answers or omissions made by me on this questionnaire. I authorize the companies, schools or persons above to give any information regarding my employment and any information they may have regarding whether or not it is in their records. I hereby release said companies, schools or persons from all liability for any damage for issuing this information. In addition, if accepted as a volunteer, I hereby agree to abide by the rules of Hospice of Montgomery.
Hospice of Montgomery is an equal opportunity employer. No question on this application is asked for the purpose of limiting or excluding any applicant’s consideration for volunteer services because of his or her race, color, religion, sex, age, national origin, or handicapped status.
