End of Life Washington Volunteer Client Adviser Application
Thank you for your interest in becoming a volunteer with End of Life Washington. Our Client Advisers work in their communities to deliver the most compassionate gift any of us can give a terminally or incurably ill person; the ability to talk openly and honestly about end of life options, including the Death with Dignity Act.

Client Advisers provide support and advice to the client and their family and offer personal presence at the time of a Death with Dignity. It is profoundly meaningful work that requires flexibility in schedule, monthly meetings, access to technology, a willingness to drive to see clients, and some weekend or evening work.

Our most successful Client Advisers possess:

- A clear sense of self, including beliefs, personal boundaries, limitations, and available energy
- Ability to set aside any personal agenda to listen with compassion and hold space for clients exploring end of life options
- Maturity, sound judgement, and healthy boundaries that allow space for situations to unfold, without becoming absorbed
- A willingness to commit to a minimum of one year serving as a Client Adviser
- Ability to attend monthly meetings either in person or virtually

Email address
Name
First and last name
Your answer
Email
Your answer
Phone number
Your answer
Cell phone number
Your answer
Address
Your answer
Are you currently working?
If yes, where are you currently working?
Your answer
What personal experiences have you had with death and dying?
Your answer
What is your understanding of our Mission and the work we do?
Your answer
What concerns or fears, if any, do you have about serving as a Client Adviser?
Your answer
Are the people closest to you supportive of your interest and involvement in end of life work?
Your answer
How do you deal with grief, death, stress, and burnout - physically, emotionally, and spiritually?
Your answer
Describe the pathway in your life that led you to End of Life Washington's volunteer opportunity.
Your answer
Please list any relevant experience and/or education:
Your answer
Can you commit to serving for a minimum of one year?
Your answer
Are you willing to attend training, seminars, workshops, etc for continuing education in the field of death and dying?
Your answer
What kinds of time constraints or conflicts do you foresee (job schedule, family responsibilities, vacations, etc.)
Your answer
Please provide 3 non-familial references (name, relationship and email address). We will not disclose the service you will be providing.
Your answer
Are you willing to sign and honor a confidentiality agreement?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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