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Interview Forms

Kindly complete our online forms for a quick and effortless process, ensuring that we receive your questionnaire securely.

People to Know Form

At BLOOM, We are celebrating the most important part of the workers' compensation industry - the people! Each month we will ​take a behind-the-scenes look of one of our members to showcase their story of who they are and what they do.

Magazine Edition
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Doctor to Know Form

This feature highlights physicians and practices that go above and beyond to help injured employees recover.

Magazine Edition
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Workers' Compensation Philosophy Form

Please start with 'Hi, I am (your name) my workers' compensation philosophy is?...'

Magazine Edition
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BLOOM Winners Interview Form

The BLOOM annual awards and gala celebrates and honors the most essential part of the worker's compensation industry! The people! BLOOM's award winners are among the top of their profession; it has been called "The Academy Awards" of the workers' compensation world! It's a prestigious honor to be part of the BLOOM winner circle.

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Women of September Form

We're so excited to showcase outstanding women like you through a series of interviews on Bloom. Let's make this September truly special!

Share a photo of yourself that truly capture your personality.

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Create a 30-second video of yourself. Just walk up to the camera and show us your genuine emotions – whether you're laughing, smiling, or expressing any feelings that define you. You can include pets, kids, grandbabies, cooking, dancing, working – anything that represents the real YOU. This video will be a special highlight for our Women of September feature.

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2023 End of The Year Reflection Form

What did 2023 teach you? We're so excited to spend this time reflecting on the past year, and we hope you are too. We know it's been a jam-packed 12 months, but we are asking our audience one question—What did 2023 teach you? In this reflection form, we will ask you to consider your life in 2023 and compare it with where it is now. We hope to learn how you have grown as a person since then. We also want to hear about what is important to you now that wasn't before.

Magazine Edition
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