Volunteer Mentor Application

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Non-Discrimination Policy
It is the policy of Big Brothers Big Sisters of Salina to provide equal opportunity for program participation to Bigs/volunteers, children and families without regard to the individual race, color, religion, national origin, marital status, age, gender, gender identity, sexual orientation, veteran’s status, status with regard to public assistance, or disability of qualified individuals.
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If you have been a Big before





References Check

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
  • If you have worked/volunteered for another Youth Serving organization, please provide an additional reference for each one (example: Nanny, youth coaching, youth camps, etc.). 
Spousal/Familial Reference







Professional Reference







Personal Reference








Youth Serving Organization








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

Big Brothers Big Sisters of Salina fosters meaningful connections between youth and adults. Sometimes our work includes activities in locations where weapons may be present. We expect everyone who works with our agency to make child safety their primary consideration in such situations.

 

In volunteer work with Big Brothers Big Sisters of Salina, there may be times when it is appropriate for a Little to visit a location where firearms may be present, or take part in hunter safety courses. Volunteers and staff must adhere to all requirements to protect child safety in these visits.

 

Weapons, firearms, and ammunition must be made inaccessible at all times to a child while in the volunteer Big’s care unless participating in specific, approved activities that the parent/guardian and volunteer Big have approved in advance, and such approval is documented in the match file (e.g., hunter safety courses.)

 

When a law enforcement official must carry a weapon as a condition of employment, agency professionals must document the weapon-related job requirements as well as parent notification of the requirements and their approval of the condition prior to match.

 

Any firearms and/or weapons ownership by the volunteer Big applicant must be: • Disclosed to BBBS agency staff at enrollment and throughout the life of the match; • Disclosed to the child’s parent/guardian by agency staff; and • The volunteer Big must attest that any weapons, firearms, or ammunition owned are licensed, permitted, registered, and handled in accordance with all applicable state and federal laws.

Application Acknowledgement

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 Big Brothers Big Sisters 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, Big Brothers Big Sisters is not required to disclose reasons for doing so; 
  5. Other Big Brothers Big Sisters 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. I understand that this is an application for a volunteer opportunity and is not a promise or commitment by Big Brothers Big Sisters.

This will be used as your signature for the document above.

MM/DD/YYYY

Volunteer Code of Conduct

Big Brothers Big Sisters of Salina provides children and youth with safe, quality mentoring relationships with caring adults who serve as volunteers. Our Bigs teach by example the importance of giving and giving back, of staying in school, and of having respect for family, peers, and community. As a Big, you share with your Little, their parents/guardians, and the agency, a commitment to fostering a safe, enjoyable, meaningful, and healthy mentoring relationship by observing our code of conduct.

I will provide a healthy, safe, and supportive environment for children and youth at all times.

I will not inflict any physical, sexual, emotional, or other abuse or exploitation on children and/or youth.

I will use respectful and appropriate language in all interactions with my Little and avoid use of the following: profanity, derogatory terms, inappropriate jokes, name calling, or discussion of intimate personal details of my life.

I will not engage in any sort of physical contact with a child that may make the child feel uncomfortable, or that violates reasonable boundaries.

I will provide fair treatment to youth and their family, no matter gender, gender identity, race, ethnicity, religion, national origin, disability, medical needs, and/or sexual orientation.

The Big-Little relationship is based on mutual respect. I agree to treat my Little and their family in a respectful manner at all times.

I agree to notify Big Brothers Big Sisters of Salina immediately of any safety issues in the life of my Little that I become aware of in the course of volunteering.

I understand that failure to adhere to this code of conduct may result in disciplinary action, up to and including termination.

This will be used as your signature for the document above.

MM/DD/YYYY
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