Paid and Volunteer, beginning with most recent
List any physical/health limitations you may have
I understand that the information contained in this application is voluntarily supplied and may be used and disclosed for Thomaston Hospice Inc. purposes and that as a Thomaston Hospice volunteer I will not be paid for my services.
We have elected to use electronic signatures as the default choice in lieu of paper. Be advised that according to the U.S. Federal E-SIGN Act in addition to various state laws an electronic signature is legally the same as a paper and ink signature.