Volunteers are a vital part of Sta-Home.  Each volunteer is valued and respected for the support and time they give to our patients, families and to Sta-Home.  Volunteers are given the chance to make a difference and improve a patient’s quality of life by providing love and companionship to all.  If you would like to be given the chance to make a difference, please complete the Volunteer Application below and click on the Submit button. Sta-Home will contact you to discuss your application.   Or, feel free to contact LeAnn Henderson, Director of Volunteer Services at 601.956.5100, ext. 8181. 

A volunteer can do just about anything.  A few examples are:

  • Shopping, buying groceries, running errands for the family
  • Visiting with the patient/caregiver
  • Providing respite care
  • Making crafts
  • Baking/cooking meals
  • Assisting with household chores
  • Handling administrative tasks in the hospice offices

The most important thing you need is the desire to serve.  To help you become the best volunteer you can be, you will be professionally trained by a Sta-Home Volunteer Coordinator on our mission and history, HIPAA privacy and security rules, and other general information about Sta-Home and being a hospice volunteer.  Quarterly in-service training days provide further education throughout the year.

Sta-Home makes every effort to recognize the volunteers and their dedication to our hospice families. Each volunteer receives a Certificate for Completion of Training after the initial training ends.  Star Volunteer Awards are presented during the quarterly in-service training days, and a Volunteer of the Year award is presented at a volunteer awards banquet.  All hospice volunteers are recognized during National Volunteer Week. 


1st Quarter Hinds - 2014

1st Quarter Grenada - 2014

1st Quarter Philadelphia - 2014

1st Quarter Meridian - 2014

Volunteer Application * Indicates a required field.

Select Location*

General Information

Full Name*:
Preferred Name:
Street Address*:

Zip Code*:
Date of Birth*:

Home Phone:
Best time to call:
Work Phone:
Best time to call:
Cell Phone*:

What is your preferred method of contact?
Are you employed, student, retired or currently not working?
If employed, where are your employed?

Have you submitted an application here before?
If yes, give dates

Have you ever been a volunteer or paid employee of Sta-Home?
If yes, what year?

Have you ever been convicted of a crime?
(a conviction does not necessarily disqualify you)
If yes, explain giving nature, location and date(s) of conviction

Skills and Qualifications

Previous Volunteer Experience:

Please complete the information below if you have volunteered for a year or longer at an organization. This information may be used for an additional reference.

Name of Organization
Type of Work
Other Experience, Skills or Interests?
Do you have any experience working in healthcare?
If so, where? How did you become interested in Hospice and what prompted you to become involved as a volunteer?
When are you available to volunteer (weekdays, weekends, mornings, afternoons, evenings)? Please be as specific as possible.
How far are you willing to drive to visit a patient or to your assignment?
How often can you volunteer?

Personal Information

Has a close friend or relative of yours ever been diagnosed as having a terminal illness?
If yes, what is the relationship?
What is/was the nature of the illness?
Has/Did a physician discuss the patient’s life expectancy with you, your friend, relative, or someone else close to the dying patient?
If yes, please describe
Has a close friend or relative of yours died within the past year?

Skills and Abilities

Please indicate which skills and abilities you would be interested in sharing with us.

Direct Patient Care

Administrative Support

Other (Please Specify)


Please provide two references personal or professional (no relatives).


Mailing address (please include postal code):
Daytime telephone number:

Mailing address (please include postal code):
Daytime telephone number:

I give permission to the Volunteer Coordinator to contact my references.

Emergency Information

Person to be notified in case of accident or emergency:
Family Physician

Sta-Home. A Mississippi-based home healthcare and hospice provider.

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