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Comfort WoRx Volunteer Application
To volunteer, please fill out the form below.
(Scroll down to the bottom of the page to submit)
May we contact you at work?
Education and work experience summary
Place of employment
Please indicate any special interests or hobbies that you have
Please indicate the services you are most interested in providing
Public relations, speakers bureau, etc.
Clerical office help
Days and Times of Availability
Preferred hours per week
Why do you want to become involved with our volunteer program?
What do you hope to get from your experience?
What can you bring to Comfort WoRx?
Have you had any experience with death or a dying patient?
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