Serious Illness Program Volunteer Application
Please submit an application to be added to the next SIP training waiting list.

We understand that this in depth training is a serious time commitment and trust that applicants will be able to complete the required work.

Please complete and submit this application or contact us with any questions about SIP. You can email at the coordinator, Eileen at eileen.glover@brattleborohospice.org or call 802-257-0775

We ask that before you submit an application, you consider whether you are ready to commit 2 or more hours a week to being an SIP volunteer after completing the training.  Also, all volunteers are required to be vaccinated against COVID and Flu and willing to follow precautions (like masking) with some clients if they are immunocompromised.

We ask for a $40 contribution from each trainee to cover the cost of training materials.

The training is available to all regardless of ability to pay. Scholarships are available, please inquire at your interview.

Please submit this form when you have completed it and our training facilitator will call you to schedule an interview.  Thank you!
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BAH requires a multi-step process for training volunteers. Taking the training does not guarantee acceptance into the volunteer program. Background checks and volunteer suitability are taken into consideration throughout the process. 

Below is a list of the steps:

-Complete and submit application
-Review of application and pre-training interview
-Complete background check paperwork
-Attend 8 week training
-Complete and submit training evaluation
-Schedule post-training interview
Today's date: *
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Name: *
Preferred Name
Street: *
City, State: *
Zip code: *
Physical address (if different than mailing address):
Phone (Home): *
Phone (Cell):
Email: *
Preferred Contact Method(s):
Date of Birth: *
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How did you learn about this volunteer opportunity?
Have been through any BAH trainings in the past? If yes, which one and when?
Are you vaccinated against COVID and Flu? Please describe current status.
 *
Gender:
Clear selection
Pronouns:
Clear selection
What is your work experience?
Have you volunteered with other organizations?  If so, which one(s)?
What draws you to become an SIP volunteer at this point in your life?
What strengths and values would you bring to this program?
Do you have personal experience of Serious Illness?  If so, please tell us a bit about that experience.
BAH serves, with out any discrimination of any kind, all those who are seeking support. New clients are carefully screened by the Serious Illness Program Coordinator to ensure they will benefit from the support we provide. A wide variety of people seek out our services. With this knowledge, would you be willing to support someone who is...Check all that apply: *
Required
Sometimes the volunteer training brings up difficult memories or feelings that you may want to share with people you are close to.  Please tell us a little about your support network.
Do you have your own transportation? *
Required
Is there anything else you'd like to add?
What times of day/week would be best for you to attend trainings? Sessions are 3 hours long and occur weekly. Check all that apply
References:  Please list 2 people, who are not related to you, who will be able to comment on your ability to deal with stress, your dependability, your personal stability, and your responsiveness to others.                            Please list their names and email addresses.
Thank you for taking the time to fill out this application.  We will be in touch soon to let you know we received your application.  We will follow up with a scheduled time to get to know each other a bit and answer any questions that either one of us may have.
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