Your Name
Street Address
City, Street, & 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 Where?
How did you hear about Bloom?
Which Hours are you available to Volunteer? Monday MorningMonday AfternoonTuesday MorningTuesday AfternoonWednesday MorningWednesday AfternoonThursday MorningThursday AfternoonFriday AfternoonFriday MorningSaturday MorningSaturday Afternoon
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.
Delivery Person 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.
Groups or individuals are needed to organize neighborhood, church or community clothing drives for The Bloom Closet.
Summarize your previous volunteer experience.
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
Emergency Contact Name
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
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.
