Site-BasedVolunteer Application

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Non-Discrimination Policy

Thank you for your interest in becoming a Big Brother or Big Sister. Along with this application, you will need to submit a copy of a government photo ID or your driver's license as well as proof of automobile insurance (if you plan to transport a child within our community based program) and complete a background check.


Volunteer Big Brothers, Big Sisters, Board Members, and Agency Staff as Volunteer Bigs are not excluded on the basis of race, religion, national origin, color, gender, marital status, sexual orientation, gender identity, veteran status, or disability.


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Please provide name, age, and relationship to you:





Please list all cities and states you have lived in aside from your current residence in the last 5 years.




Pre-Interview Questionnaire

Prior to your in-person interview, please answer the questions below. Parents of youth in our programs will often ask questions about someone with whom their child will be matched.  The information you provide will also help us make a better match for you and assure we can support you during your involvement with our program.  Please note that you will have an opportunity to discuss these questions and your responses more thoroughly during your in-person interview.

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Additional Information







References and Background Check

Please provide at least three references. 
1.  A reference from a Spouse/Spousal Equivalent or Significant Other is required. Substitute a family member if no Spouse/Spousal Equivalent or Significant Other. 
2.  A current or former employer or co-worker you have known for at least one year, or someone from your school if you are a student; and 
3.  A friend or neighbor you have known for at least two years.
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Professional Reference






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Volunteer Agreement 

I consent to and understand that:

  • The references and youth serving-organization I listed may be contacted by mail, telephone, email, or in-person;
  • The information I provided may be used to conduct a background check, to include a search of public domain records, driving records check, juvenile and adult criminal history check, military records, 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 annual and three year layered criminal background and driving records check.
  • I am in no way obligated to perform any volunteer services;
  • I will be asked to provide my social security number. 
  • BBBSCC has the right to accept or deny program participants and is not obligated to match me with a youth. BBBSCC is not required to provide me with a reason if I am not accepted or matched with a youth.
  • Other BBBS agencies and youth organizations where I have worked or volunteered may be contacted as references;
  • As part of the enrollment process, I will be required to provide additional personal information, including completion of an in-person interview;
  • I understand that the information I provide in the enrollment process will be kept confidential, unless disclosure is required by law and with exceptions noted below. 
  • I understand that incidents of child abuse or neglect, past or present, must be reported to proper authorities;
  • I understand that certain relevant information about me will be discussed with the parent/guardian of a child who is a prospective match (this might include demographic information, information relevant to parent/child preferences, and any information relevant to a child’s safety or well-being);
  • For purposes of program evaluation, audit, or accreditation, and with the prior approval of the board of Directors, certain outside bodies such as BBBS of America may have access to records.
  • It is my responsibility to update BBBSCC if any of the information I provide on this application, in my interview, or any other information provided during the enrollment process changes (i.e. address, phone number, auto-insurance, new criminal charges, etc.). 
  • I agree to timely communication and follow-up with all agency staff.
  • To receive communication from Big Brothers Big Sisters of Central Carolinas staff via phone call, email and/or text (SMS) messages.


I understand that this is an application for a volunteer opportunity and is not a promise or commitment by Big Brothers Big Sisters.

I certify that all information I have provided or will provide to Big Brothers Big Sisters, including this application, is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would affect my application for a volunteer position. I understand that information contained on my application will be verified by Big Brothers Big Sisters. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant or my termination as a volunteer.

 

At any time while involved with the Big Brothers Big Sisters program, I agree to immediately inform my Big Brothers Big Sisters contact person of any and all infractions, violations, charges and convictions related to any civil, domestic, or criminal occurrences.  I understand that BBBS staff needs to be fully informed to provide the best guidance or support possible.  

If applicant is under the age of 18, co-signature of a parent/guardian is required for application and to obtain criminal history check information.
Volunteer Confidentiality Agreement

As a volunteer with Big Brothers Big Sisters of Central Carolinas, I understand that I may become aware of certain confidential information which includes, but is not limited to:

 

·         All medical and personal information concerning Littles and their families

·         Information regarding the provision of services

 

§  It is expected that I will keep such information in the strictest confidence.

§  I understand that this confidentiality agreement will be kept on record at Big Brothers Big Sisters of Central Carolinas.

§  I understand that written authorization shall be obtained only by a staff member from the Little’s Parent/Guardian before any information can be disclosed to another individual, organization or program.

§  I understand that any information that is shared will done so only with the permission of the Little’s Parent/Guardian and only when appropriate to serving the best interest of the Little.


Volunteer Publicity Consent

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