Thank you for your interest in volunteering at Haven Hospice. Fill out the form below and a member of our team will be in touch with you soon.

Name:(Required)
Address(Required)
In which Florida county (or counties) would you be interested in volunteering?(Required)
Please note: if you've experienced the loss of a loved one in the last 12 months, it is recommended that you do not volunteer directly with patients. If you have suffered a loss, please share as much detail as you're comfortable sharing.
What is your availability?(Required)
Are you currently enrolled as a student?(Required)

Personal Reference #1. [Please do not list relatives](Required)
Relationship:(Required)
Name:(Required)
By typing my name, I give Haven Hospice permission to contact my listed reference to obtain information as it relates to my suitability to volunteer.
MM slash DD slash YYYY

Personal Reference #2. [Please do not list relatives](Required)
Relationship:(Required)
Name:(Required)
By typing my name, I give Haven Hospice permission to contact my listed reference to obtain information as it relates to my suitability to volunteer.