BBBS LOGOAdult Site Based: Volunteer Enrollment Form

Mentor Program







A first-generation student is a student whose parent(s)/legal guardian(s) did not attend college.
Volunteer Information
*NOTE:  THE BELOW QUESTIONS ABOUT YOUR ETHNICITY, MARITAL STATUS, GENDER/SEXUAL IDENTITY AND RELIGIOUS PRACTICE ARE USED ONLY TO HELP CHOOSE THE MOST BENEFICIAL MATCH FOR YOUR LITTLE.  THIS INFORMATION WILL NOT BE CONSIDERED IN DETERMINING WHETHER OR NOT YOU ARE ACCEPTED INTO THE PROGRAM.

As listed on your Driver's License



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By providing a mobile number, you give Big Brothers Big Sisters permission to contact you using automated text messages for reminders, updates, and events.









Additional Volunteer Information
Type NA (not applicable) if none
Branch, To & From Date, Rank at Discharge, etc.
Employment & Education Information
The total # of years completed in a school setting










Emergency Contact




References
Personal
Reference #1: Friend (acquainted at least 2 years, non-relative)






Spousal/Significant Other
Reference #2: Spouse or Significant Other (if not applicable, include additional friend)






Professional
Reference #3: Current Employer/Supervisor (if self-employed please include client/business partner or other non-relative)






Driver's License & Auto Insurance Information



Experience









Household Information



Volunteer Pre-Enrollment Questionnaire
Prior to your in-person interview, we would like you to answer the questions below. Parents of youth in our programs will often ask us questions about someone with whom their child will be matched. We will only release information to a parent with your expressed permission. The information you give will also help us make a better match for you and assure we can support you during your involvement with our programs.






















Interested Volunteer Consent
Please initial each item to complete form.
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Media Consent and Agreement

Please initial one of the two boxes below and sign and complete all information at bottom of form.

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Applicant Signature
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Communication Consent & Agreement

Please initial one of the two boxes below and complete form with your signature and date.

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RELEASE AND WAIVER OF LIABILITY

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