Volunteer Application

Volunteer Information
Full Name*

First NameLast Name
Gender*
Written-In Gender Identity
Race/Ethnicity
Hispanic/Non-Hispanic
Birthdate*

DayMonthYear
Nationality
How did you hear about us?
Contact Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Preferred Phone #*

Area CodePhone Number
Preferred Phone Type*
Employment / Education
Employer/School
Occupation*
Work Hours

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Work Phone Number

Area CodePhone Number
OK to call at work?
Volunteer Experience
Have you applied to be a Big before?*
Where & When?*
Prior Work or Volunteer Experience w/ Youth?*
Please provide where, when, and Contact Information of Supervisor for each instance.*
How do the significant people in your life feel about you becoming a Big Brother or Big Sister, i.e., spouse, children, partners, parents, etc? Have you discussed this with them?*
Why do you want to become a Big Brother or Sister?*
Any Special Skills, Interests, or Hobbies?*
What age Child are you interested in working with?*

6-89-1011-1213-14 (when applicable)Does Not Matter
Household Information
Marital Status*
Children of Your Own?*
Ages & Sex*
Do Others Live in your Household aside from Yourself*
How many 18+ ?*
Name & Relationship to You of each 18+ Household Member*

Background Check
All Volunteers 18+ with Big Brothers Big Sisters are required to undergo a background check to ensure the safety of our Littles. This background check will only include a layered check of federal, state and local records for any criminal history, sexual offender status, Social Security Number Validation to confirm identity and a check of your motor vehicle record if applicable. It will not include any consumer or credit records. Background checks are completed through our contracted company, Integra.

In order to process your application we must have your consent to run the Background Check. For accessability we offer the ability to complete the Background Check authorization form electronically via email or as a hard copy we mail you which must be sent back to us in order for us to move forward with your application.

By clicking "Yes", below you will be emailed the electronic Background Check Authorization Form with instrutions to complete. If you select "No", you will be sent a hard copy form in the mail.
How would you like to authorize your background check?*

I would like the form emailed to meI would like the form mailed to me & I will mail it back to you

Terms of Eligibility
I understand that:
1) The references I listed may be contacted by mail, telephone, or email.
2) I am in no way obligated to perform any volunteer services.
3) The information I provided may be used to conduct a background check, to include driving record check, criminal background check, and other records where required by local, state or federal law for volunteers working with youth.
4) The BBBS agency is not obligated to match me with a youth.
5) Other BBBS agencies or youth organizations where I have worked or volunteered may be contacted as references, and
6) As part of the enrollment process, I will be asked to provide additional personal information prior to any recommendations for assignment.
7) I certify that the information provided is accurate.
I accept the Terms and Conditions
Eligibility Disclaimer
You will automatically be determined to be ineligible for our program if you have ever been accused of, charged, or convicted of any form of child abuse. You may also be determined ineligible for our program based on information resulting from background checks, including criminal background check, driving record check, and other record checks where required by local, state or federal law for volunteers working with youth.
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Volunteer Information