Teen Volunteer Application

Heart of Georgia Hospice needs volunteers to help provide the best care to our patients, families, and community. If you’re interested in working with one of our volunteer programs, submit an application to our Volunteer Coordinator using the form below. A printable version of the below application should be available soon.

Teen volunteers also need a waiver signed by a parent or guardian. You can pick up this waiver at our office in 103 Westridge Drive, Warner Robins, Georgia 31088.

All fields required unless otherwise noted.

Personal Information

Volunteering Information

Which days and hours are you available to volunteer? (Select all that apply.)
Sunday morningsSunday afternoonsSunday eveningsMonday morningsMonday afternoonsMonday eveningsTuesday morningsTuesday afternoonsTuesday eveningsWednesday morningsWednesday afternoonsWednesday eveningsThursday morningsThursday afternoonsThursday eveningsFriday morningsFriday afternoonsFriday eveningsSaturday morningsSaturday afternoonsSaturday evenings

Why do you want to volunteer for Heart of Georgia Hospice?

Do you have any restrictions that would affect your volunteer assignments?

How did you hear about volunteer opportunities with Heart of Georgia Hospice?

Do you have reliable transportation?

Have you volunteered before? If so, please share your volunteer experience:

Please indicate any special interests, extracurricular activities, and/or hobbies:


I certify that the answers given on this application are true and complete to the best of my knowledge. I understand that I must have a signed permission form/waiver from my parent or legal guardian to participate in the Heart of Georgia Hospice Teen Volunteer Program. I understand entering my name as an electronic signature is the equivalent of a physical signature.

Please enter your full name as an electronic signature.

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