Non-Discrimination Policy
Volunteer Big Brothers, Big Sisters, Board Members, Agency Staff, Youth and Families are not excluded on the basis of race, religion, creed, national origin, color, sex, gender identity and expression, familial or marital status, sexual orientation, pregnancy, age, military status, genetic information or any other legally-protected status. 
Hidden Fields

Basic Information

input NA if none

File can be a screenshot, PDF, or picture

File can be a screenshot, PDF, or picture
Contact Information

Employer Information (please add your 3 most recent)

Additional Information
NOTE for BBBS staff (delete before making the form live): You will need to update the drop down above with the corresponding options for your chapter. Once you've added the locations available to your chapter, go into the Update Contact step in the submit connector and update the Agency Location mappings, using record IDs of the Agency Locations IDs as the send-as values 

References and Background Check

Previous Experience

Volunteer Experience

Please provide at least three references below including:
  • Your spouse or domestic partner OR a family member if you do not have a spouse, partner, or significant other.
  • Current or former employee or co-worker you have known for at least one year or someone from your school if you are a student
  • A friend or neighbor you have known for at least two years
Spousal/Familial Reference

Professional Reference

Minimum 1 year
Personal Reference

Minimum 2 years
I consent to and understand that:
  1. The references and youth-serving organization(s) I listed may be contacted by mail, telephone, email, or in person;
  2. 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 (see attached authorization), military records, and other records where required by local, state, or federal law for volunteers working with youth;
  3. I am in no way obligated to perform any volunteer services;
  4. The BBBS agency is not obligated to match me with a youth and may deny my application or close my match at any time, and to protect all participants’ confidentiality, BBBS is not required to disclose reasons for doing so; 
  5. Other BBBS agencies and youth organizations where I have worked or volunteered may be contacted as references;
  6. As part of the enrollment processes, I will be required to provide additional personal information, including completion of an in-person interview;
  7. I understand that the information I provide in the enrollment process will be kept confidential, unless disclosure is required by law.  
  8. I understand that detailed accounts of child abuse or neglect, past or present, will be reported to proper authorities;
  9. 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);  
  10. It is my responsibility to update the agency 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.)
  11. I agree to complete questionnaires throughout my time in the program to evaluate and improve program services;
  12. I agree to timely communication and follow-up with all agency staff as required by the agency.

Pre-Interview Questionnaire

Prior to your in-person interview, please answer the questions below. 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.  

Agency Weapons Policy
For the purpose of this policy, “weapons”, may include all firearms, handguns, zip guns, knives (except for kitchen knives and small pocket knives not used or intended for use as a weapon or to inflict bodily injury) and explosive devices. 

It is the policy of Big Brothers Big Sisters of the Inland Northwest, all volunteers agree to the following: 

1. To inform BBBS of the ownership of weapons or the presence of weapons in the home. BBBS staff will discuss the ownership of weapons during the volunteer’s interview and update that status for the life of the match. 

2. To ensure that weapons and ammunition are inaccessible to your Little while under your supervision. 

3. The firearm will be transported to and from any activity in compliance with state and federal laws and in a manner in which the Little cannot gain access. 

4. To adhere to the policy that a Big will not carry a concealed handgun at any time while with your Little regardless of occupation or concealed weapons permit. 

5. To understand that BBBS will disclose to the parent of the child assigned to you the agency’s policy, and the Big’s admission of weapon ownership or the presence of weapons in the home. 

6. The parent / guardian and Big will sign an acknowledgement of the Weapons Policy and the form will be kept in the Big’s and Little’s permanent files. 

7. To obtain permission from the child’s guardian before engaging in any activity in which a weapon may be used while on an outing with your Little. 

8. A gun safety course is required for both the Big & Little prior to engaging in an activity in which a weapon will be used. 

9. Any weapons, firearms and/or ammunition are Permitted, Licensed, Registered and Handled in accordance with all applicable state and federal laws. 
Activity Insurance
I understand and am fully aware that BIG BROTHERS BIG SISTERS OF THE INLAND NORTHWEST, does not have insurance to cover any match activities related to aviation and excludes the use of trampolines, springboards or other gymnastic rebounding devices that are 5 feet or greater in diameter. Inflatable jumping castles are okay. Furthermore, I understand that other activity restrictions may be implemented by BBBS at any time.

THEREFORE, if I choose to engage in any of these activities with my Little Brother or Little Sister, or allow him/her to engage in any of these activities while in my care, I agree to act in a reasonable and prudent manner.  

Please provide the name, age, and relationship to you for anyone else residing in your home.

Release of Information Authorization for Background Check

This is to inform you Big Brothers Big Sisters of the Inland Northwest, herein noted as BBBS or BBSINW, may obtain information about you and/or your history related to potential criminal activity. The report from authorized sources may include, among other information, arrest, conviction, and final board disciplinary decisions. BBBS may additionally obtain information concerning your background, character, medical conditions, employment, education, and military experience. Information obtained by BBBS will be used only for the purposes of assessing your suitability to become a volunteer and matching you with a student. 

As provided by State Law (RCW 43.43.830) a disclosure statement must be made by an applicant, and background inquiries may be made of certain civil adjudication's, conviction records or crimes against persons and disciplinary board final decisions prior to appointment to positions which have unsupervised access to children.  

Such inquiries may be made to state and/or federal law enforcement agencies. Information obtained from the disclosure statement, or from the background inquiries, will not necessarily preclude appointment, but will be considered in determining the applicant's character, suitability, and competence to person in the position applied for and may result in a denial of appointment. The use of the record of these inquiries will be restricted to the decision on your application and may be shared with the parent/guarding of the child you choose to match to. 

If you wish to be considered for a volunteer position, you must complete and sign this application and associated forms. Failure to do so will disqualify you for any volunteer appointment. 

Confidentiality and Digital Platform Policies

In order for Big Brothers Big Sisters of the Inland Northwest to provide a responsible and professional service to clients, it is necessary for volunteers, clients and parents/guardians of clients to be asked to provide extensive personal information about themselves and their families. The personal information becomes part of the personal file and shall become the property of the Agency. The Agency respects the confidentiality of client and volunteer records and, with the exception of situations listed below, shall share information about parents/guardians, clients, and volunteers ONLY among the Agency professional staff. 


1. Information will be released to other individuals or organizations when an "Authorization for Release of Information" form is appropriately signed by the parent/guardian or volunteer. 

2. Identifying information regarding parents/guardians, clients, and volunteers may be: 

a. used in Agency publications or promotional materials 

b. reviewed by the Public Relations Committee for selection in media campaigns unless otherwise instructed 

3. For purposes of program evaluation and accreditation of our Full Member Status with Big Brothers Big Sisters of America, designated Agency Board members and Big Brothers Big Sisters of America staff representatives may have access to client and volunteer records. These outside parties shall be required to respect the Agency Confidentiality Policy. Evaluators review information in client and volunteer files for the purpose of compliance with Agency policies, procedures, and National Standards rather than content. 

4. Information will be released to law enforcement officials or the courts pursuant to a valid and enforceable subpoena. 

5. Information shall be provided to the Agency's legal counsel in the event of litigation or potential litigation involving the Agency. Such information is considered privileged information, and the law protects its confidentiality. 

6. Information will be released to the Washington State Department of Social & Health Services Child Protective Services or law enforcement officials where child abuse is suspected. 

7. If an Agency staff person receives information indicating a parent/guardian or volunteer may be dangerous to himself/herself or 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. 

8. In order to facilitate optimal matching of volunteers and children, the Agency shares selected pertinent information with prospective matches. Specifically, parents/guardians and children are given information regarding volunteers, and volunteers are given information regarding children with whom the caseworker feels they might be matched. The information provided will only be shared with the prospective match parties. 

Social Media Guidelines for Volunteers

Big Brothers Big Sisters of the Inland Northwest realizes that online social networking (Facebook, Twitter, Instagram, Blogs and Linkedin, etc.) have become very popular communication tools and many of our Bigs and Littles use these platforms.

Please proceed thoughtfully before inviting or accepting an invitation from your Little to any social networking site. Should you choose to participate in a social networking site with your Little and they are 13 years of age, you must adhere to the following guidelines regarding any postings related to your match or affiliation with Big Brothers Big Sisters:

1. Do not participate in any online communication with your Little unless they are at least 13 years old and you have received permission from the parent/guardian (permission should include parent’s approval or denial for the posting of your Little’s photos online).

2. Never post the last name of your Little or any other contact information such as home address, school they attend etc.

3. Photos should not be posted without the agreement from the Little.

4. Make sure that your page settings within Facebook are set to private:

GO to Privacy Setting

Select Hide (Little Brother or Sister Name) from view for the following items:

· Photos and Videos of Me. Select “Hide Photos and Videos of Me where I am TAGGED from view of NAME OF LITTLE.

· Posts by friends

· Comments on posts

· Photo Albums (case by case basis)

5. Be aware of other postings on your page that are not Big Brothers Big Sisters- related or are inappropriate for minors. Know that you are a role model at all times. Please ensure that all content is appropriate and child friendly.

6. Honor confidentiality guidelines within your match; be cautious when posting detailed information about conversations with your Little, his/her parent/guardian.

7. Contact your Match Support Specialist if there are concerns about a posting from your Little.

Big Brothers Big Sisters reserves the right to view all content on Social Media Networking Sites utilized by prospective or current Bigs related to the appropriateness, as described above. Failure to adhere to these guidelines may result in termination of your match.

When in doubt about whether or not something is appropriate to post, please consult your Match Support Specialist prior to posting.

Media Consent and Release

I irrevocably consent to any and all uses and displays of my name, image, likeness, appearance, basic biographical information, audio/video recordings, writings, artwork, and the like, in original form or in modified form, in whole or in part, in, on, or in connection with merchandise, advertising, publicity, marketing, fundraising, and the like, in printed or electronic media, of any type, throughout the world at any time by Big Brothers Big Sisters of America and [BBBSA affiliate] in their sole discretion, and by any of their affiliates, successors, partners, sponsors, donors, any entities or persons with whom they conduct any public relations, marketing, or fund raising of any type, and any other authorized third parties, without further consent from me, without any royalty, payment, or other compensation to me, and with the release and waiver of any claims, actions, damages, losses, costs, expenses and liability of any kind arising from any such use (the “Released Material”).
In consideration of the mutual promises made herein, and for other good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge, I hereby grant to BBBSA and its affiliates the right to use the Released Material as BBBSA and/or its affiliates may desire, in all media now existing or hereafter created and in all variations and forms including, but not limited to, internal or external publications or productions, informational or recruitment materials, marketing materials, fundraising materials, televised photography and/or recordings, advertisements, Public Service Announcements, and/or online and social media sites. The use of this information shall be at the sole discretion of BBBSA and/or its affiliates.

I further grant to BBBSA and its affiliates the absolute right to use the Released Material in whole or in part, alone or in conjunction with any other image, name, writings or reproduction, in color or otherwise, for art, advertising, business, trade, or any other lawful purpose whatsoever, in perpetuity throughout the world.

I understand and agree all materials created by BBBSA and/or its affiliates that use the Released Materials are the property of and are owned by BBBSA, and that I cannot authorize their use by any other party.  I further understand that BBBSA may authorize their use by a third party. I hereby irrevocably transfer and assign to BBBSA my entire right, title and interest, if any, in and to the Released Materials and all copyrights in the Released Materials arising in any jurisdiction throughout the world, including the right to register and sue to enforce such copyrights against infringers.

I acknowledge and agree I have no right to review or approve the Released Materials before they are used by BBBSA and/or its affiliates, and that BBBSA has no liability to me for any editing or alteration of the Released Materials or for any distortion or other effects resulting from BBBSA’s and/or its affiliates’ editing, alteration or use of the Released Materials.  BBBSA has no obligation to use the Released Materials or to exercise any rights given by this Consent and Release Form.

I hereby release BBBSA and its affiliates, employees, and agents, as well as any partner companies, from all claims, demands or liabilities and related financial costs that I may now or hereafter have arising in connection with BBBSA’s exercise of the rights hereby granted, and/or with the appearance or the Released Materials in any publication or production. These include, without limitation, claims for compensation, defamation, or invasion of privacy, or other infringements or violations of personal or property rights of any sort whatsoever.

Application Acknowledgement

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, accurate, 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 in 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 matters.  I understand that BBBS staff needs to be fully informed to provide the best guidance or support possible.