Volunteer Intake Form
OUR MISSION

Driven by the voice of residents, the WBRP leads impactful, collaborative efforts of neighbors and local stakeholders that honor our historical and cultural roots, build on the pride and strengths of our neighborhoods and empower residents to be leaders and achieve a vision for a better community.

WBRP VISION

Located in the heart of the city, West Bloomington will be characterized by its high quality-of-life, empowered residents and deep sense of pride. Through partnerships and strong associations, and building on the neighborhood’s history and diversity, West Bloomington will be home to new jobs, homes, and vibrant public gathering spaces in a safe and welcoming community.

WBRP CORE VALUES

We believe in empowerment

People can achieve their goals when they have access to the resources they need. The WBRP listens to our neighbors and creates opportunities for action. We offer connections to information, ideas, equipment, and each other so that individuals can create their own pathway to success.  Everyone and everything in this neighborhood has value and potential.

We believe in diversity

The Westside celebrates the many cultures that have made this neighborhood their home. The WBRP honors the history of the neighborhood and contends that this is the neighborhood of the future. Diversity is a strength and should grow. Everyone should feel welcome on the Westside.

We believe that healthy individuals create healthy communities

Everyone has a right to secure housing, healthy food, a safe community, and opportunities for civic engagement. The WBRP knows that helping one person helps a whole family. Helping one house helps a whole block. Helping one neighborhood helps the whole city. Reciprocity in individual relationships and organizational partnerships means we create a healthy community together.

We believe in constant improvement

Our neighborhood is a great place to live right now and we know it has a bright future. We see our community for what is strong and not for what is wrong. We will show others how to see opportunities and not problems. The Westside is a leader in how hard work, resourcefulness, and creativity can transform a place. The WBRP embraces our dynamic environment as an opportunity to grow and innovate.

We believe in stewardship and transparency

The Westside is worthy of investment and the WBRP is a good steward. We are grateful for the time, talent, and treasure that people bring to our mission. We will honor that investment by providing meaningful experiences in our programs and being accountable for meeting and exceeding expectations. Our leadership is always looking for ways to leverage strengths, bring value, and remain relentlessly mission-driven.

Sign in to Google to save your progress. Learn more
Email *
This release and waiver of liability by (your name, the “Participant") in favor of the West Bloomington Revitalization Project, a non-profit organization, its directors, board, employees, volunteers, and agent (collectively, “WBRP”). I understand that the activities and functions in which I participate may be considered (but do not have to be) of a volunteer nature. On behalf of myself, I waive all claims for damages, injuries and death sustained to me or my property that may result from my participation. 

Release & Waiver: Participant understands that this release discharges WBRP from any liability or claim that the Participant may have against WBRP with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Participant’s activities with WBRP, whether caused by the negligence of WBRP or its board, directors, employees, or agents or otherwise. Participant also understands that WBRP does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury or illness.  

Medical Treatment: Participant does hereby release and forever discharge WBRP from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Participant’s activities with WBRP.     

Assumption of the Risk: The Participant understands that the activities include work that may be hazardous to the Participant, including but not limited to lifting, loading and unloading, and transportation to and from other sites. Participant hereby expressly and specifically assumes the risk of injury or harm in the activities and releases WBRP from all liability for injury, illness, death, or property damage resulting from the activities.               Insurance: The Participant understands that, except as otherwise agreed to by WBRP in writing: WBRP does not carry or maintain health, medical, or disability insurance for any Participant.  Each Participant is expected and encouraged to obtain his or her own medical or health insurance coverage.
 *
What is your full name? *
Are you at least 18 years old? *
Phone number? *
Address? *
Organization?
Which program(s) are you interested in volunteering for? Check all that apply.
Which committee are you interested in volunteering on? Check all that apply
What is your availability? Check all that apply. *
Required
The WBRP's needs vary greatly from day to day, so when you sign up to volunteer, you may be agreeing to get dirty and work with your hands, interact with the public in customer service, or organize paperwork. Please dress accordingly to be comfortable performing a variety of tasks (outdoors or indoors). 

Please provide a brief description of your background, skills, experience, and preferences, and you'll be more likely to be placed accordingly and enjoy your time volunteering here.
 *
In case of emergency, who do we contact? Please provide their full name and phone number. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Bloomington Revitalization Project.

Does this form look suspicious? Report

Google Forms