Needed  - volunteers to help terminally ill patients, caregivers and families. OR could volunteer to help with administrative duties

PATIENT ORIENTED VOLUNTEER REQUEST

Services needed: (please check all interested in doing)

__      Visiting face to face                                 __      Visiting by phone

__      Shopping or running errands                 __      Yard work

__      Reading/answering mail                         __      Cleaning

__      Respite (sit with Pt/relieve Caregiver)                    __          Laundry

__      General help                                              __      Minor maintenance

Duration Available:

__      Daily                               __      Weekly                          __          Monthly

Days Available:

__ Monday         __Tuesday           __Wednesday      __Thursday      

__Friday              __Saturday         __Sunday

Hours available: 

_______ Monday        _____Tuesday              ______Wednesday       _______Thursday        _____Friday                  ______Saturday _______Sunday

Specific Days/Weeks/ Months Available:

______________          __________________           __________________