I am applying to be a...

Big Brother or Big SisterBig Couple

Program requirements to be a Big Brother or Big Sister:

I am 18 years of age or older

YesNo

I can pass a background check

YesNoIncludes military history. Those dishonorably discharged are not eligible for our programs.

I have a valid driver's license with insurance

YesNo

Stylized graphic of a social security card

I have a Social Security number

YesNo

I will commit to a long-term friendship

YesNoA minimum of 6 months but the greatest impact begins after 1 year.

Outline of the state of California with a white star where San Diego is

I live in San Diego County

YesNo

Program requirements to be a Big Couple:

We are both 21 years of age or older

YesNo

We can both pass a background check

YesNoIncludes military history. Those dishonorably discharged are not eligible for our programs.

One of us has a valid driver's license with insurance

YesNo

We both have a Social Security number

YesNo

I will commit to a long-term friendship

YesNoA minimum of 6 months but the greatest impact begins after 1 year.

We live together in San Diego County

YesNo

We have been in a committed relationship for at least 2 years

YesNo

*Big Couples: Both applicants need to fill out this form individually.

Select Yes if you meet ALL of the eligibility requirements listed. This question is required.*

Program requirements to be a Big Brother or Big Sister:

I am 18 years of age or older
I can pass a background check. (Includes military history. Those dishonorably discharged are not eligible for our programs.)
I have a valid driver's license with insurance
I have a Social Security number
I will commit to a long-term friendship (a minimum of 6 months but the greatest impact begins after 1 year)
I live in San Diego County

Select Yes if you meet ALL of the eligibility requirements listed. This question is required.*

Program requirements to be a Big Couple:

We are both 21 years of age or older
We can both pass a background check. (Includes military history. Those dishonorably discharged are not eligible for our programs)
One of us has a valid driver's license with insurance
We both have a Social Security number
I will commit to a long-term friendship (a minimum of 6 months but the greatest impact begins after 1 year)
We live together in San Diego County
We have been in a committed relationship for at least 2 years

*Big Couples: Both applicants need to fill out this form individually.

YesNo

Thank you for your interest in becoming a Big. Unfortunately, you don't currently meet the minimal requirements to be eligible to volunteer for our mentoring program. If things change in the future, please reach back out to us!

Test Record?

What is your first name?

Nombre

What is your last name?

Apellido

What is your birthdate?

Fecha de nacimiento

What is your phone number?

Número del celular

When would be the best time to call you?

Morning (8am-12pm)Afternoon (12pm-4pm)Evening (4pm-6pm)Any time

What is your email address?

Correo electrónico

Are you inquiring about our Big Couples program?

Please provide the name of your spouse/partner:

Do you speak Spanish?

YesNo

What is your fluency level in Spanish?

BasicConversationalIntermediateFluent

Which race or ethnicity describes you? Choose as many as you like.

American Indian or Alaska NativeAsian - ChineseAsian - FilipinoAsian - IndianAsian - JapaneseAsian - KoreanAsian - OtherAsian - VietnameseBlack or African AmericanHispanic - CubanHispanic - Mexican,Mexican American,ChicanoHispanic - Other Latinx or Spanish originHispanic - Puerto RicanMiddle Eastern or North AfricanPacific Islander - ChamorroPacific Islander - Native HawaiianPacific Islander - OtherPacific Islander - SamoanWhite or CaucasianOtherPrefer not to say

What is your gender identity?

Género

How do you identify?

¿Cómo se identifica usted de género?

What are your pronouns?

What pronouns do you use?

How did you hear about us?

Type in response to generate options

Referral Detail ID - Katie will send list of active sources

Please describe:

Mailing Street Address

Mailing City

Mailing State

Mailing Zip Code

Zip - Agency Location ID

Have you served in the military?

I'd like to learn more about...

Big CouplesSports Bigs

Additional Information

Level of Education

Year Degree Obtained

Education Years Completed

Military Branch

Are you assigned to shore duty?

YesNo

Please upload a copy of your DD214 (image or Office file only)

How would you describe yourself, in terms of participation in events, activities, or sports?

Which activities do you enjoy more?

Do you have a driver's license?

Driver's License Number

Driver's License Expiry

Driver's License State

Employer Information

Employment Status

Name of Employer

Occupation

Employment Length (Months)

Employment Length (Years)

Employer Address Line 1

Address Line 2

City

State

Postal Code

Is it okay to call at work?

YesNo

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