New York CACCC 30-Hour Hospice and Palliative Care Chinese Volunteer Training
The Chinese American Coalition for Compassionate Care - CACCC 美華慈心關懷聯盟
Contact us at info@caccc-usa.org / (866) 661-5687
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Dear Applicant, Thank you for your interest in CACCC 6th 30-hour Hospice & Palliative Chinese Volunteer Training Program in NY.Training will be conducted in Chinese and English.We are seeking qualified applicants who are able to commit to the entire 30-hour training and are willing to be a hospice and palliative volunteer in NY for at least one year thereafter. We will contact you to schedule an interview beginning in May.The volunteer training is free; however, there is a registration fee of $100 to cover material costs and meals. If you have any other questions about the training or about CACCC, please visit caccc-usa.org or email: info@caccc-usa.org or leave a message at 866-661-5687.
Training Dates: Saturday – Tuesday, July 27, 28, 29 &30, 2019, 8:30 AM - 4:30 PM
Training Location: CAIPA, 136-33 37th Ave., Suite 2D, Flushing, NY 11354
If you are fully dedicated to the schedule and one-year volunteer commitment, please complete the application form thoroughly and thoughtfully.
English Name (with degrees/titles) *
Chinese name
Home Address
Email
Cell #
Home #
Emergency Contact Name
Emergency Contact Phone
Individual Member Agreement
Your signature below certifies that you agree to become a volunteer member of
the CACCC.
Please type in your full name *
Volunteer Questions (Answer in English or Chinese)
1. What is your occupation and/or course of study? (Please indicate if you work/study full-time or part-time in your response.)
2. What language/dialect(s) do you speak? (Please indicate level of fluency ; reading/writing skills.)
English
0
Native
Clear selection
Mandarin
0
Native
Clear selection
Cantonese
0
Native
Clear selection
Others
3. Please describe your current and previous volunteer experience.
4. What motivates you to attend this training at this time?
5. Please describe any experience with serious illness, either your own or someone close to you.
6. Have you recently experienced the death of a loved one or recent loss? If so, how long ago?
7. What is your understanding of hospice care and palliative care?
8. How do you feel this training will benefit you? Others?
9. What challenges do you anticipate from this training?
10. It is important that hospice and palliative volunteers have strong resources for emotional support in their life. What are your emotional support systems in your life?
11. Do you anticipate anything interfering with your ability to complete the 30-hour training and to commit to becoming a hospice and palliative care volunteer for at least a year after your training?
12. Is there anything else you would like to share and let us to know?
Volunteer Agreement I hereby certify that I have personally completed this application and that all the information herein is accurate. If accepted to the Chinese Hospice and Palliative Care Volunteer Training, I am able to commit to the full 30-hour training and become a hospice and palliative care volunteer for at least one year after completing my training.
Please type in your full name *
We will contact you to schedule an interview beginning in May.The volunteer training is free; however, there is a registration fee of $100 to cover material costs and meals. If you have any other questions about the training or about CACCC, please visit caccc-usa.org or email: info@caccc-usa.org or leave a message at 866-661-5687.
A copy of your responses will be emailed to the address you provided.
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