Board Interest Application

If you are interested in joining the MomsBloom Board of Directors, please complete the secure and confidential form below. Email bloom@momsbloom.org or call us at 616-828-1021 with questions. We look forward to hearing from you!

 
Name *
Name
Primary Phone
Primary Phone
Experience/Skill Set in (check all that apply):
Please provide two personal references:
Name of 1st Reference
Name of 1st Reference
Reference 1 Phone
Reference 1 Phone
Reference 2 Phone
Reference 2 Phone
What is your racial/ethnicity?
Why do you want to serve on the MomsBloom Board of Directors?
Board Member Expectations
Board members are expected to: 1. Attend monthly board meetings held on the second Monday of every month from 6:30 - 8 p.m. 2. Attend additional events, board activities and trainings as requested. 3. Serve on at least on committee annually. 4. Serve as a Community Ambassador on behalf of MomsBloom. 5. Make an annual donation (or services in kind equivalent to) $200 to MomsBloom.
Can you meet these expectations? *
Agreement
Our Policy 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 and for your interest in volunteering with us! Sincerely, MomsBloom