Volunteer's Agreement

I certify that the information given above is true and complete. I understand that any misrepresentations or incomplete information may disqualify me from further consideration as a volunteer.

I understand that all informaiton given on this form may be checked, including motor vehicle and FDLE by Cornerstone Hospice. I authorize the background checks to be conducted and I hereby release Cornerstone Hospice from any and all claims rising from the release, furnishing and use of information requested.