Bloom Pediatrics
Nature. Nurture. Bloom.
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Volunteer Application

 

Volunteer with us.

Since we are a unique and small family-centered private practice, we require an interview prior to accepting new volunteers. If you would like to schedule an interview, please complete the form below. Be sure to read our volunteer guidelines carefully before submitting.

Volunteer guidelines:

  • Volunteers must demonstrate responsible and professional behavior (i.e., commit to a consistent schedule, arrive on time, dress appropriately).

  • Volunteers must comply with all HIPAA confidentiality and privacy guidelines.

  • Primary volunteer duties must be completed before observation of any therapy sessions. These duties include but are not limited to cleaning, organization, and other clinic maintenance duties.

  • Accepted volunteers agree to a one month trial period to ensure goodness of fit.

  • We do not guarantee fulfillment of required hours for occupational therapy program applications.

  • We do not provide letters of recommendation for volunteers unless they have volunteered with us for at least four months.

ACKNOWLEDGEMENT OF GUIDELINES *
Personal information
Name *
Name
Phone *
Phone
School and/or employer information
Actual or anticipated.
Additional information
Schedule and availability *
Please check when you would be available to volunteer with us. Check all options that apply. Keep in mind that our site requires that volunteers maintain a consistent weekly schedule of 3-4 hour blocks of time.