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Non-Discrimination Policy
Big Brothers Big Sisters of Colorado celebrates the diversity of our participants. No volunteer, family member, child, staff or individual is excluded on the basis of race, age (must meet minimum age requirements), color, religion, national origin, gender, gender expression, marital status, sexual orientation, veteran status or disability.
Important Information


Basic Information










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Contact Information




















Employer Information












Additional Information








Previous Experience




References and Background Check

Please provide at least five references. A reference from a Spouse/Spousal Equivalent or Significant Other is required. Substitute a family member if no Spouse/Spousal Equivalent or Significant Other.
Spousal/Partner or current relationship Reference
If not applicable please use a Family Member as a reference here







Close family member Reference







Professional Reference






Personal Reference






Personal Reference







Volunteer Experience










I understand that:
  1. The references and youth organizations that I have worked for or been involved with as a volunteer whose information I have provided may be contacted by telephone or email.
  2.  I am in no way obligated to perform any volunteer services.
  3. I will be asked to provide my social security number.
  4. I will need to be fingerprinted.
  5. The information I provide may be used to conduct a background check, to include a driving records check, criminal background check, and other records where required by local, state, or federal law for volunteers working with youth. If matched, the information I provided may also be used to conduct an annual criminal background and driving records check. Continued involvement will be based on the information discovered.
  6.  Big Brothers Big Sisters has the right to accept or deny program participants and is not obligated to match me with a youth. Big Brothers Big Sisters is not required to provide me with a reason if I am not accepted or matched with a youth.
  7. As part of the enrollment process, I agree to provide additional personal information to assist Big Brothers Big Sisters in making a recommendation for matching.
Virtual Platform

Personal Information
















Confidentiality & Obligation Policy 

Confidentiality 

I have thoroughly reviewed the need for confidentiality and I understand and acknowledge the

following:

1. BBBSC respects the confidentiality of volunteer, family and child records. All records are

considered the property of the agency. Records are not available for review by the volunteer, family and/or child.

2. Photos and/or identifying information regarding volunteers, family and children may be used in agency publications or promotional materials with a signed media release and consent form.

3. For purposes of program evaluation, audit, or accreditation, and with the prior approval of the Board of Directors, certain outside bodies such as Big Brothers Big Sisters of America may have access to volunteer, family and child records. We retain the right to share information as appropriate.

4. Information will only be provided to law enforcement officials or the courts pursuant to a valid and enforceable subpoena or upon written consent and authorization by the President/CEO.

5. Information will be provided to the agency's legal counsel in the event of litigation or potential

litigation involving the agency.

6. If a staff person receives information indicating that a volunteer, family member or child may be dangerous to himself/herself or to others, necessary steps may be taken to protect the appropriate party. This may include a medical referral or report to the local law enforcement authorities.

7. If abuse or neglect is disclosed, BBBSC is obligated to report that information immediately to the proper authorities.


Obligation Release

I understand and agree that:

1. To the best of my knowledge and ability, I have provided accurate and complete information in

response to the questions asked of me.

2. Additional personal information may be asked of me as part of the ongoing procedures.

3. The completion of the enrollment process does not guarantee that a match will be found.

4. All children and adults who are not accepted into our program will be notified by letter. It is the practice of Big Brothers Big Sisters of Colorado, Inc. NOT to inform the non-accepted party of the reasons for non-acceptance.

5. Mentors are responsible for insuring that children are transported only in vehicles with insured drivers during match activities.

6. All children and adults who enter our program have the right to withdraw from the program at any time prior to matching.


Signature

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