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Volunteer Application

Contact Information

(if applicable)

Availability

Interests

Please select areas of volunteer interest below. You will receive more information during the Volunteer Orientation and may add or change selections at that time.

Special Skills or Qualifications

Previous Volunteer Experience

References

Please list 3 references of people who know you well, other than relatives, preferably for whom you have worked in either a paid or volunteer capacity. If you are currently working, whether paid or as a volunteer, please include the name of your supervisor.

Person to Notify in Case of Emergency

 

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I agree to help out with no expectation of monetary compensation.

I understand that all employees and volunteers at BLOOM are required to maintain confidentiality by not discussing clients, business practices or other pertinent information with outside parties.

I understand that if I volunteer in any capacity that directly interacts with children, I will be required to complete a 60-day initiation period followed by a background check and fingerprinting.

Name (printed)  
Signature  
Date  

 

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.