Non-Discrimination Policy

All BBBS participants, including youth, families, volunteers, board and staff serving as volunteer Bigs are not excluded on the basis of race, ethnicity, religion, national origin, color, gender, marital status, sexual orientation, gender identity, gender expression, citizenship status, veteran status, or disability.

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Contact Information

First Name

Nombre

Last Name

Apellido

Phone

Email

Correo electrónico

County

Condado

Address

Zip Code

Código postal

For our information

Date of Birth

Fecha de nacimiento

Gender

Género

How do you identify?

¿Cómo se identifica usted de género?

Pronouns

Select all that apply:

Race/Ethnicity

American Indian or Alaska Native	Asian - Chinese
Asian - Filipino	Asian - Indian
Asian - Japanese	Asian - Korean
Asian - Other	Asian - Vietnamese
Black or African American	Hispanic - Cuban
Hispanic - Mexican,Mexican American,Chicano	Hispanic - Other Latinx or Spanish origin
Hispanic - Puerto Rican	Middle Eastern or North African
Pacific Islander - Chamorro	Pacific Islander - Native Hawaiian
Pacific Islander - Other	Pacific Islander - Samoan
White or Caucasian	Other
Prefer not to say

How did you hear about Big Brothers Big Sisters?

BBBS Staff/Board Member	Big/Former Big
Community Event/Festival/Booth	Company/Organization Info session
Family/Friend	Media/Internet
Recruitment event	School Counselor/Teacher
Self	Therapist/Case worker
University/campus info

Which Event?

Company/Organization Name

Comments/Questions

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Contact Information