Volunteer Application

Your Name

Street Address

City, State, & Zip Code

Home Phone

Alternate Phone

Email

Group Affiliation (if applicable)

Birth Date

Are you over 18 years of age?
YesNo

Are you inquiring about volunteer opportunities to fulfill court-ordered community service?
YesNo

Have you ever been convicted of a crime other than a traffic violation?
YesNo
If yes, please explain:

What Charge?

Date Convicted

How did you hear about Bloom?

Availability
Which Hours are you available to Volunteer?
Monday MorningMonday AfternoonTuesday MorningTuesday AfternoonWednesday MorningWednesday AfternoonThursday MorningThursday AfternoonFriday AfternoonFriday MorningSaturday MorningSaturday Afternoon

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.
Stockroom Support
Assist with the receiving, processing and replenishment of donated merchandise in The Bloom Closet. Must be able to lift 15 pounds.

Clerical/Office Support
Assist with mailings, data input, and receptionist duties

Special Events/Fundraising Support
Procure silent auction items as well as help organize various community fundraisers

Childcare Assistant
Babysit children during foster parent training and foster parent appreciation events. This position requires a background check.

Special Skill Teacher
Teach special skills such as cooking, guitar lessons, knitting, or money-management to foster children.

Volunteer Organizer
Make once-a-month phone calls to schedule volunteers to work at The Bloom Closet.

Seamstress
Volunteers are needed to hem, mend and repair buttons on donated clothing.

Clothing Drive Organizers
Groups or individuals are needed to organize neighborhood, church or community clothing drives for The Bloom Closet.

Special Skills or Qualifications

Groups or individuals are needed to organize neighborhood, church or community clothing drives for The Bloom Closet.

Previous Volunteer Experience

Summarize your 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.
Reference #1
Reference #2
Reference #3

Person to notify in case of Emergency

Emergency Contact Name

Street Address

City, Street, & Zip Code

Home Phone

Alternate Phone

Email

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.