BBBS Volunteer Application

Program: Community-Based Bigs              School/Site-Based Bigs
              Monthly Activity Bigs                  Family or Couple Bigs

Name:

Date of Birth:            Driver's License? Yes No

Address:

Married/Partner Status? Race/Ethnicity (not required)

Home Phone: Best time to call?

Work Phone: Email:

Employment:

1) Company: Dates: to
    City, State, Zip:

2) Company: Dates: to
    City, State, Zip:

3) Company: Dates: to
    City, State, Zip:

Education:

High School: City/State: Date Graduated:

College: City/State: Date Graduated:

Graduate School: City/State: Date Graduated:

Experience:

What experiece do you have working with children?

What sorts of activities would you like to do with a Little?

How did you hear about BBBS?

Have you ever been, or applied to be a Big Brother or Big Sister before? If so, when and where?

Have you ever been arrested or convicted of a criminal offense, including traffic convictions?
If so, please explain:

References:
Important -- Please do not list relatives -- Thanks!

Please list below the names of two people who have known you for at least one year and can speak to your qualifications as a BBBS candidate. For the third reference, please provide the name of your immediate supervisor at your current or most recent place of employment. If you are over 18 and applying for School/Site-Based Bigs, two references are sufficient. If possible, one employment reference is still desirable. If you are under 18, three references are still required. If you have no immediate supervisor, a high school teacher will suffice.

1) Name: Phone:
   Address:
   In what capacity does this person know you?

2) Name: Phone:
   Address:
   In what capacity does this person know you?

3) Name: Phone:
   Address:
   In what capacity does this person know you?

All applications are kept strictly confidential. By submitting this application online, I certify all statements herein are complete and true. I certify I am aware that as part of this application process, a background check will be completed through the FBI National Fingerprint Database, and a driving record check may be completed through the Department of Motor Vehicles.