Please read the
following carefully before signing this application:
I understand that this is an application for a volunteer opportunity and is not a promise or
commitment by Big Brothers Big Sisters of Central Wisconsin.
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 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.
I consent to and understand
that:
- I am
not obligated to complete any volunteer services.
- The
BBBS agency is not obligated to match me with a youth and may deny my
application or close my match at any time.
To protect all participants’ confidentiality, BBBS is not required to
disclose reasons for doing so.
- I
will be required to complete 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);
- It is my responsibility to update the agency if any of the information I provided 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.)
- If I am matched with a Little, I agree to timely communication and follow-up with
all agency staff.
- Throughout my time in the program I agree to complete questionnaires to evaluate and improve program services.