Volunteer Application

Welcome!

Thank you for your interest in being a mentor!

This application collects important information to move you to the next step in the process. It should take about 15 minutes to complete. If you have any questions or technical difficulties, please email info@BigLittleColorado.org or call 303-433-6002 and we will get back to you soon!

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

I understand that: (please check the following)

As part of the BBBSC enrollment processes, I will be asked to provide additional personal information.

What is your age?

You must be at least 18 to be a mentor. We're updating our eligibility requirements, so if you are 18-20, you may wait a little longer but you should apply now to be first in line!

Where are you located?

We are only supporting matches in the Denver or Boulder metro areas, and Teller and El Paso counties. If you are looking for resources outside those areas, please visit MENTOR Colorado at comentor.org.

Basic Information

Contact ID 18 Character

Enrollment ID 18 Character

Contact Owner ID

Contact Owner Email

Which community are you applying to?

Which program are you most interested in?

I want to help wherever I am needed most	Community Mentoring
Sports Buddies	Big Futures - Colorado Springs ONLY

Click the program name to learn more about Community Mentoring or Sports Buddies. Big Futures is a new post-secondary readiness program launching soon in Colorado Springs.

First Name

Middle Name

Last Name

Maiden/Alias

input NA if none

Preferred Name

Birthdate

Gender

Use this space to tell us anything you'd like us to know about your gender identity

Personal Pronouns

What pronouns do you use?

What is your race and/or ethnicity? Previous answers include things like "I'm mixed race Black and white," "I'm Chinese American," "I'm Hispanic (my family is from Mexico)," and we encourage you to write whatever feels accurate to you.

Tribal & Regional Corporation Affiliations

Nationality

To select multiple, hold CTRL/CMD and click.

*If You are not a US Citizen, you agree to take on any additional cost required for a background check from your country of origin.

Relationship Status

Please check which of these apply to you:

I own my own carI share a carI use only public transportation or rideshare services (i.e. Uber, Lyft, Car2Go, etc)

Contact Information

Personal Email

Work Email

Preferred Email

Mobile Phone

Work Phone

Home Phone

Preferred Phone

Best Time to Call

In general, do you prefer to be contacted by email or phone?

Physical Address

Street Address

City

State

Zip Code

How long have you lived in the Denver Metro Area or Colorado Springs?

Employer Information

Employment Status

Name of Employer

Occupation

Employment Length (Months)

Employment Length (Years)

Employer Address Line 1

Address Line 2

City

State

ZIP Code

Is it okay to call at work?

YesNo

Work Schedule:

Monday-FridayEveningsSaturdaysSundays

Previous Experience

Have you previously applied to be or served as a Big Brother or Big Sister here or anywhere else?

When?

Where?

market

References and Background Check

Please provide at least four 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.

Are you married or living with a romantic partner?

Spousal/Partner Reference

Spousal/Familial Reference ID

First Name

Last Name

Email

Phone

Years Known

Close family member Reference

Spousal/Familial Reference ID

First Name

Last Name

Email

Phone

Relationship to you

Years Known

Professional Reference

First Name

Last Name

Email

Phone

Relationship to you

Years Known

Personal Reference

First Name

Last Name

Email

Phone

Relationship to you

Years Known

Have you held a volunteer or paid position where you worked with children in the last five years? (for example counselor at a camp, babysitting, nannying, coaching, etc.)

Volunteer Experience

Organization Name

Location

Start Date

End Date

Direct Supervisor First Name

Direct Supervisor Last Name

Phone

Email

Years Known

Reason for Leaving

I understand that:

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.
I am in no way obligated to perform any volunteer services.
I will be asked to provide my social security number.
I will need to be fingerprinted.
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.
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.
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.

I accept the terms and conditions

Confidentiality & Obligation Policy

Confidentiality

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

following:

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

To the best of my knowledge and ability, I have provided accurate and complete information in response to the questions asked of me.
Additional personal information may be asked of me as part of the ongoing procedures.
The completion of the enrollment process does not guarantee that a match will be found.
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.
Mentors are responsible for insuring that children are transported only in vehicles with insured drivers during match activities.
All children and adults who enter our program have the right to withdraw from the program at any time prior to matching.

I have read and understand the above information provided to me regarding Big Brothers Big Sisters' confidentiality policy. I agree by the conditions set forth.

Signature

I understand that: (please check the following)

This application in no way obligates me to perform any volunteer servicesBig Brothers Big Sisters of Colorado, Inc. (BBBSC) is not obligated to accept my application or match me with a youthAs part of BBBSC’s enrollment processes, I am required to complete the following: 1. volunteer training, 2. in person or online interview, and 3. a background checkThe information I provided may be used to conduct a background check, including driving records check, criminal background check, and other records where required by local, state, or federal law for volunteers working with youth

To complete your application please use your mouse to sign your name in the space below:

Reset Signature

Please type your full name

Today's Date

Spanish	African Languages (Swahili, Bantu)
American Sign Language	Arabic
Asian: Other	Chinese
Creole	Dutch
Eastern European (Czech, Slovak)	French
German	Greek
Hebrew	Hmong
Indian (Hindi, Punjabi)	Italian
Japanese	Keres (West)
Korean	No Preference
Nordic	Persian
Portuguese	Russian
Turkish	Lao