The Bloc Volunteer Survey
Thank you for your interest volunteering with The Bloc.

The Bloc seeks volunteers who believe in the strength, ability, and potential of all kids. When surround West Side youth with adults willing to invest time in their success, we prove that change and progress are possible.

Please take time to complete our volunteer survey. Following the survey, you may be contacted with a meeting request to determine the best way to use your strengths for our young people.
Email address *
First and Last Name
Phone Number
Birthdate
MM
/
DD
/
YYYY
City
Current Occupation
Which volunteer opportunity are you interested in applying for?
Please select yes or no below
Youth Support and Mentoring
Clear selection
Food Pantry setup and distribution of goods
Clear selection
Assistance with on-site tasks
Clear selection
Fundraising and / or Administration
Clear selection
Describe any community, business, or professional experience that may be used to benefit our students or organization.
Why do you want to volunteer for The Bloc?
What will our teens or families gain from your assistance?
Ideally, how many times each month will you work as a volunteer?
Clear selection
A copy of your responses will be emailed to the address you provided.
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