BBBSVT Volunteer Application

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Non-Discrimination Policy

Our participants come to us with a wide range of personal characteristics. We believe that participant eligibility shall be determined without regard to race, color, religion, national origin, gender, marital status, sexual orientation, gender identity, veteran status, socio/economic status or disability. 

Hidden Fields




Basic Information

(full legal name)


(full legal name)

input NA if none










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




























Employer Information











Additional Information









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

While some adults possess weapons for hunting and/or protection purposes, it is the policy of Big Brothers Big Sisters of Vermont, Inc. ((BBBSVT) that all agency volunteers agree: 


1. To inform BBBSVT 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/or home assessment, and update that status for the life of the match. For purposes 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. 


2. To ensure that weapons and ammunition are inaccessible to the child assigned to you by BBBSVT and to any other child participating in a BBBSVT activity, while the child is under your supervision. The means of ensuring the inaccessibility will be discussed during the interview and/or home visit. 


3. To adhere to the policy that a volunteer will not carry a concealed handgun at any time while accompanying the child assigned to you by BBBSVT or accompanying any other child participating in a BBBS activity, even if you have a permit to carry a weapon (with the exception of law enforcement officers who are required to carry a weapon at all times and have received prior approval from BBBSVT). 


4. To understand that BBBSVT will disclose to the parent or guardian of the child assigned to you by BBBS the agency’s weapons policy and the volunteer’s admission of weapon ownership or the presence of a weapon in the home. The parent/guardian and the volunteer will sign an acknowledgement of the ownership of a weapon and the form will be kept in the child’s permanent file. 


5. To obtain permission from the child’s parent/guardian and from BBBSVT before engaging in any activity in which a weapon may be used with the child assigned to you by BBBSVT or with any other child participating in BBBSVT activities. 


6. To abide by any other policy or procedure that BBBSVT may put into effect regarding weapons. 


7. BBBSVT, along with the State of Vermont require that a child under the age of 18 must participate in a gun safety course prior to using a firearm. We ask that a Volunteer provide their BBBSVT staff member a copy of the completed gun safety course prior to engaging in activities with weapons. 










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



Release of Information Authorization for Background Check


The following background checks are required prior to volunteering:
  • FBI Fingerprint Check
  • National, State and Local Criminal Records Check
  • Sex Offender Registry Check
  • VT Child Abuse Registry
  • Driver's License Check (community-based only)
  • Social Media Check
(Additional consent forms will be provided to you during the interview process).

Confidentiality Policy

I agree to keep information discussed with me regarding a potential match (Little Brother, Little Sister) confidential.  Likewise, after a match is made, I will keep confidential any information about my Little or about their family.  If for any reason the match is not made, I likewise agree to keep all information confidential.  I will not discuss this information with any person other than the assigned professional staff of the Big Brothers Big Sisters program.


Big Brothers Big Sisters of Vermont recognizes that online social networking (Facebook, Twitter, LinkedIn, Instagram, Blogs, etc.) has become a very popular communications tool and that many of our Bigs and Littles use these apps. In general, personal use of social networking sites is typically for communication between peers, including friends and family. BBBSVT wants to reiterate that a Bigs’ relationship with their Little is that of a mentor in addition to a friend, and therefore, not all social networking sites are designed to support mentoring relationships. We ask that Bigs proceed thoughtfully when inviting or accepting an invitation from their Littles to social networking sites. Bigs will be asked to consult with their Program Coordinator if there is a question about the appropriateness of a friend request. If Bigs do choose to participate in a social networking site with their Littles, adherence to the following guidelines regarding any postings related to their match or affiliation with BBBSVT is required:

 

1.     Do not participate in any online communication with/about Littles unless approval is given by the parent/guardian and Program Coordinator.

2.     Bigs must give parents/guardians and BBBSVT information on which social media platforms will be used.

3.     Bigs must never post any pictures of Littles online unless they obtain written consent from the Littles’  parent/guardian, and that consent form is filed with BBBSVT.  (Youth who are in foster care are not permitted to have their photos posted anywhere regardless of consent.)

4.     Bigs must never post the last name of their Littles, their parents/guardians or BBBSVT staff.

5.     Bigs must never post any contact information for their Littles.

6.    Bigs must never post any identifying information about their Littles (i.e.: child’s home address, school the child attends, where the parent works, etc.)

Virtual Platform


Media Consent and Release

Media Consent, Release and Waiver

By selecting below I authorize/agree to give Big Brothers Big Sisters of Vermont permission, and hereby consent to any and all uses and displays of my name, image, likeness, appearance, and basic biographical information in, on, or in connection with any advertising, publicity, marketing, or printed or electronic media, of any type, throughout the world at any time by Big Brothers Big Sisters of Vermont, and any of their affiliates, successors, partners, sponsors, donors, and any entities or persons with whom they conduct any public relations, marketing, or fund raising of any type, without further consent from me or 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.

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 of Vermont.  BBBSVT 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, BBBSVT is not required to disclose reasons for doing so; 


As part of the enrollment processes, 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 (ie: child abuse or neglect), and the information 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 provide may also be used to conduct an annual criminal background and driving records check. Continued involvement will be based on the information discovered;

 

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);


I agree to timely communication and follow-up with all agency staff; and that 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.);


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 BBBSVT staff needs to be fully informed to provide the best guidance or support possible. 


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.