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Hospice and Palliative Care of St. Lawrence Valley

Ensuring quality of life in any stage of illness

(315) 265-3105

6805 US Hwy 11 | PO Box 510 Potsdam, NY 13676

Office Volunteers Needed

 

Indirect Service Volunteer Application

Hospice of St. Lawrence Valley Indirect Volunteer Application

All Hospice of St. Lawrence Valley volunteer applicants are considered without regard to race, religion, color, sex, gender identity, sexual orientation, national origin, ancestry, citizenship status, uniform service member status, marital status, pregnancy, age, protected medical condition, genetic information, disability, or any other protected status in accordance with all applicable federal, state and local laws.

All volunteers are required to be vaccinated against COVID-19 and must be able to provide a copy of their vaccination card.
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Demographic and Contact Information

Name(Required)
Address(Required)
Emergency Contact Name(Required)

Background Information

Do you have friends or relatives currently working or volunteering for us?(Required)
If chosen as a volunteer, can you furnish proof that you are over 18 years of age?(Required)
Do you have a reliable means of transportation?(Required)
When would you be available to volunteer? (Please check all that apply)(Required)
Have you ever pled guilty or “no contest” to, or been convicted of a misdemeanor or felony?(Required)

Work Experience

List your present or previous employers starting with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, religion, gender, national origin, disability, or other protected status.
Address(Required)
Employment Dates(Required)
From
To
 
Address
Employment Dates
From:
To:
 

Education

High School(Required)
Name
Location
Graduation Date
 
College
Name
Location
Graduation Date
 
Graduate School
Name
Location
Graduation Date
 

Volunteer Skills/ Interests

Please tell us about any skills you have that you would like to share in your volunteer service
List
Language(s)
Computer Skills
Certifications
Hobbies/Leisure Activities
Arts & Crafts
Music
Other
 
Please Select the types of volunteer work you are interested in:

References

Reference Name 1(Required)
Address
Reference Name 2(Required)
Address
Reference Name 3(Required)
Address

Standards of Contact

As a volunteer, I realize that I am subject to the Standards of Conduct similar to that which binds the professional in the field in which I work. I, like them, assume certain responsibilities and expect to account for what I do in terms of what is expected of me. I understand that any information that is disclosed to me while assisting the hospice is confidential I interpret “volunteer” to mean that I have agreed to work without compensation in money but having been accepted as a volunteer, I expect to do my work according to the standards set forth in the Standards of Conduct.

Volunteer Applicant’s Statement and Agreement

I understand that HOSPICE may obtain Public Records about me as part of a background investigation and that I may waive my right to receive a copy of such Public Records by checking this box ( ). I hereby state that all the information that I have provided on this application or any other documents completed in connection with my volunteer application, and in any interview, is true and accurate. I have withheld nothing that would, if disclosed, affect this volunteer application unfavorably. I understand that if I am accepted as a volunteer and any information provided to HOSPICE is found to be false or incomplete in any respect, my volunteer relationship with HOSPICE may be terminated regardless of the time elapsed before discovery. I affirm to have read the code of ethics for volunteers and agree to abide by its regulations. I agree to respect the confidentiality of any client information I may acquire during my volunteer activities. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE SAME.
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This field is for validation purposes and should be left unchanged.

 

 

Indirect Volunteer Application (Fillable PDF)

Call 315-265-3015 or email kfavaro@hospiceslv.org for more information.

New Grief Support Group: Navigating Grief

Hospice of St. Lawrence Valley’s Community Bereavement Services is offering a new 6-week grief support group starting in September.

 

The Navigating Grief group will meet on Tuesdays at 2:00PM via Zoom from Sept. 14th to Oct. 19th and will be facilitated by Hospice’s Bereavement Coordinator, Kate Favaro, CRPA.
The group will help participants develop healthy develop healthy coping skills and provide peer support to foster growth and healing. The sessions are structured to build upon each other and attendance to all 6 sessions is essential.
Navigating Grief is open to anyone 18 and older who has had a loved one pass away in the last 6-12 months. (The deceased individual did not have to be served by Hospice.)
Ideally, interested individuals will have already begun working on their grief and will be comfortable sharing their story and feelings with a small group.
To determine if the group will be beneficial, a screening process will occur at time of registration to ensure the interested individual equipped and ready to participate.
For more information and to register, contact Kate Favaro at 315-265-3105 or email kfavaro@hospiceslv.org.
*Please note: Due to COVID concerns and restrictions, this group will be held exclusively via Zoom. Participants must have a valid email address and access to a computer with a webcam, smartphone, or tablet. Zoom link will be emailed to those who register by Sept. 14th.

Veterans Needed!

Are you a Veteran?

Are you interested in supporting fellow Veterans nearing the end of Life?

WE NEED YOU!

Veteran Volunteers are vital members of the Hospice Team.  Hospice of St. Lawrence Valley is seeking Veterans to help us in supporting the many veteran patients and families we serve through the We Honor Veterans program.

 

What is We Honor Veterans?

WHV is a partnership between the National Hospice & Palliative Care Organization and the Veteran’s Administration designed to empower hospice staff and volunteers with the skills and tools needed to meet the unique needs of dying Veterans.

Hospice St. Lawrence Valley is one of only a handful of non-profit hospices in New York state with an official Level 4 partner rating of the We Honor Veterans  program.

As a Level 4 Partner of the We Honor Veterans initiative, Hospice SLV has invested in learning how to properly serve Veterans and assist them through the challenges they may be facing at the end of life — whether it be from illness, isolation or traumatic life experience. By understanding their needs, we can effectively accompany and guide America’s Veterans, and their families, toward a more peaceful ending.

 

For more information, contact our We Honor Veterans program manager, Samantha Jones at (315) 265-3105 or samj@hospiceslv.org .

 

Save the Date: 11th Annual Hospice Radiothon Returns!

 

 

The annual Radiothon for Hospice returns Thursday November 7th for its 11th year!  The live broadcast will air from the Hospice Center from 8:00 a.m. to 3:00 p.m.

Tune in to hear testimonials from inidviduals in the community who lives have been impacted by Hospice’s services and live interviews from various Hospice staff and volunteers.

Listen live  on WQTK/92.7 FM, WLFK/95.3 FM and WMSA/1340 AM.  Visit hospiceradiothon.org to learn more!

Individuals interested in sharing their story, please contact Kellie Hitchman at (315) 265-3105 or khitchman@hospiceslv.org.