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 *
Untitled Title
First and Last Name
Your answer
Phone Number
Your answer
Birthdate
MM
/
DD
/
YYYY
City
Your answer
Current Occupation
Your answer
Which volunteer position are you applying for?
Describe any community, business, or professional experience that may be used to benefit our students or organization.
Your answer
Why do you want to volunteer for The Bloc?
Your answer
What will our teens gain from your assistance?
Your answer
Ideally, how many times each month will you work as a volunteer?
A copy of your responses will be emailed to the address you provided.
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