Volunteer Pre-Interview Questionnaire
First Name
Last Name
Email
More Personal Information
What is your marital status?
Please select...
Single
In long-term committed relationship (not married or engaged)
Engaged
Domestic Partner
Married
Separated
Divorced
Widowed
Do you own a car?
Please select...
Yes
No
Limited Access
What social media sites do you use?
Facebook
LinkedIn
Snapchat
Twitter
TikTok
Instagram
Youtube (as content creator)
Other
None
If you selected 'other' above, please specify:
What languages do you speak beyond English (conversational fluency or better, select all that apply)
English only
Spanish
Portuguese
French
Haitian Creole
Mandarin
Cantonese
Other language(s)
If you selected 'other' above, please specify:
Have you ever been arrested or convicted of a crime, including DUIs and other traffic violations?
Please select...
Yes
No
Please specify the reasons for your arrest(s) and the status of any legal matters:
Do you anticipate any significant life changes (moving, changing jobs/careers, changes in marital status, etc.) over the next 18 months or have you had any in the past year (select all that apply)?
No Changes
Moving
Job Transfer
Starting New School (e.g., grad school)
Marriage
Divorce or separation
Having Kids
Other
Please explain any major life changes listed above
Job / School Information
Current Employer / School:
Job Title:
MM/YY of Hire:
Please indicate the extent of travel your job requires:
Please select...
No travel or limited travel required
Some travel that may impact my potential match
Heavy travel that will likely impact my match
What are your typical work hours?
Please select...
Daytime and Weekday Hours
Some Night and Weekend Hours
Hours Variable or Seasonal
Professional experience
What professional industries do you have experience or familiarity with
? (select all that apply)
Armed forces / defense industry
Visual or performing arts
Business and entrepreneurship
Construction and assembly
Education
Engineering
Environment
Finance
Healthcare
Law and justice
Media
Sports
Travel and logistics
Retail
Civic and social organizations
Service and hospitality
None of the above
What post-high school pathways do you have experience or familiarity with?
(select all that apply)
Two-year college
Four-year college
Apprenticeship in trades
Employment directly after high school (i.e., no college or apprenticeship)
Entrepreneurship (i.e., starting your own business)
Enlistment in the armed forces
None of the above
Educational Information
Did you attend a college and / or university in Massachusetts?
Please select...
Yes
No
What is the highest level of education you have attained?
Please select...
No high school diploma or GED
High School Diploma or GED
Associate degree
Bachelor's degree
Master's degree
Doctoral or professional degree
Please share your local college affiliation
Please select...
Not Listed
Amherst College
Art Institute Boston
Babson College
Bay State College
Benjamin Franklin Institute
Bentley University
Berklee College of Music
Boston Architectural Center
Boston College
Boston Conservatory of Music
Boston University
Brandeis University
Bridgewater State University
Brown University
Bryant University
Bunker Hill Community College
Burdett School (in Boston)
Cambridge College
Clark University
Curry College
Dartmouth College
Dean College
East Tennessee State University
Eastern Nazarene College
Emerson College
Emmanuel College
Endicott College
Fisher College
Fitchburg State University
Framingham State College
Gordon College
Harvard University
Holy Cross University
ITT Technical Institute
Johnson and Wales University
Lasell College
Lesley College
Lesley University
Massachusetts College Of Art & Design
Massachusetts College of Pharmacy and Health Scien
Massachusetts Institute of Technology
Massachusetts Maritime Academy
Massasoit Community College
Middlesex Community College
Mount Ida College
New England Institute of Art
Nichols College
North Shore Community College
Northeastern University
Olin College of Engineering
Plymouth State University
Quincy College
Regis College
Roxbury Community College
Salem State College
Simmons College
Springfield College
Stonehill College
Suffolk University
Tufts University
UMass Amherst
UMass Boston
UMass Dartmouth
UMass Lowell
UMass Medical
Wentworth Institute of Technology
Western New England College
Westfield State College
Wheaton College
Wheelock College
Williams College
Worcester Polytechnic Institute
Please select your secondary college affiliation, if any
Please select...
Not Listed
Amherst College
Art Institute Boston
Babson College
Bay State College
Benjamin Franklin Institute
Bentley University
Berklee College of Music
Boston Architectural Center
Boston College
Boston Conservatory of Music
Boston University
Brandeis University
Bridgewater State University
Brown University
Bunker Hill Community College
Burdett School (in Boston)
Cambridge College
Clark University
Curry College
Dartmouth College
Dean College
East Tennessee State University
Eastern Nazarene College
Emerson College
Emmanuel College
Endicott College
Fisher College
Fitchburg State University
Framingham State College
Gordon College
Harvard University
Holy Cross University
ITT Technical Institute
Johnson and Wales University
Lasell College
Lesley College
Lesley University
Massachusetts College Of Art & Design
Massachusetts College of Pharmacy and Health Scien
Massachusetts Institute of Technology
Massachusetts Maritime Academy
Massasoit Community College
Middlesex Community College
Mount Ida College
New England Institute of Art
Nichols College
North Shore Community College
Northeastern University
Olin College of Engineering
Plymouth State University
Quincy College
Regis College
Roxbury Community College
Salem State College
Simmons College
Springfield College
Stonehill College
Suffolk University
Tufts University
UMass Amherst
UMass Boston
UMass Dartmouth
UMass Lowell
UMass Medical
Wentworth Institute of Technology
Western New England College
Westfield State College
Wheaton College
Wheelock College
Williams College
Worcester Polytechnic Institute
Please select your expected graduation year
Please select...
Graduated prior to 2018
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Later than 2030
Hobbies and previous youth experience
Which of the following hobbies or interests do you regularly engage in, or have you previously engaged in on a regular basis? (select all that apply)
Sports
Outdoor activities (Hiking, Nature, Beach, etc.)
Indoor activities (board games, cards, etc.)
Arts & Crafts
Cooking or baking
Music
Anime
Video games
Technology
Other (please specify)
If you selected other hobbies and interests above, please specify
What experience do you have working with youth? (select all that apply)
Teacher or tutor
Sports coach
Leader in non-sport club or youth group
Babysitting
Another mentorship program
None of the above
Other (please specify)
If you selected other youth experience above, please specify
When was your most recent youth service experience?
Please select...
Within the last 5 years
5-10 years ago
10+ years ago
Matching preferences
In order to match you with the best possible Little. Please share some information about yourself. Big Brothers Big Sisters does not discriminate on the basis of race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.
Your race/ethnicity
Please select...
White
Hispanic/Latinx
Black/African American
Asian
Pacific Islander
Native American / American Indian
Multi-racial
Prefer to self-describe
Your gender
Please select...
Male
Female
Non-Binary
Prefer to self-describe
Your sexual orientation
Please select...
Heterosexual / Straight
Gay / Lesbian
Bisexual
Asexual
Other / prefer to self-describe
Your religion
Please select...
Catholic Christian
Protestant Christian
Atheist or Agnostic
Jewish
Muslim
Buddhist
Hindu
Spiritual but not religious
Other / prefer to self-describe
For each of the categories below, please let us know if you have any preference about what kind of Little you are matched to.
Preferences will be discussed further as needed during your interview.
Little age
Please select...
Yes (some preference)
No preference
Little home location
Please select...
Yes (some preference)
No preference
Little race/ethnicity
Please select...
Yes (some preference)
No preference
Little primary language
Please select...
Yes (preference for a language other than English)
Yes (English only)
No preference
Little sexual orientation
Please select...
Yes (some preference)
No preference
Little gender identity or gender expression
Please select...
Yes (some preference)
No preference
Little religion
Please select...
Yes (some preference)
No preference
Do you have any experience working with youth with disabilities (e.g., ADD/ADHD/Autism spectrum)?
Please select...
Yes
No
BBBSEM Policies
Big Brothers Big Sisters of Eastern Massachusetts proudly partners with families and volunteers from all backgrounds, races and beliefs. We expect all the members of our mentoring community to bring their whole selves into their mentoring relationships. Any language, beliefs, attitudes or values that perpetuate racism within our mentoring community are in contrast with this commitment. By selecting this checkbox, I agree that I have read and understand this commitment to anti racism
I agree
Like in any relationship, mentorship may have some challenges or concerns. There may be ups and downs in consistency, communication, need for patience, and upholding responsibilities.
- Children may be hesitant to open up and show appreciation. Relationships will evolve over time and may take some getting used to.
- It is critical to communicate with parents to schedule outings, being “pleasantly persistent.”
- Our program focuses on free and low-cost activities. We ask that you refrain from buying gifts for your Little. Relationships should be about the time you spend together
- The involvement of a match support staff member assigned to your match is mandatory. They’re available to you to aid with behavior management, planning outings, and age appropriateness. You will have monthly calls for the first year and calls every 3 months thereafter.
By selecting this checkbox, I agree that I understand these potential challenges and agree to ask my interviewer about any that may concern me.
I agree
Safety is our #1 priority at Big Brothers Big Sisters. The full safety policy can be found
here
:
https://emassbigs.org/fy23-safety-guidelines/
. This document includes but is not limited to rules specifying that:
- Outings are to be in public places, and Bigs should proactively develop a safety plan with the Little’s guardian
- If you’re ever in a car, Littles shall be in the back seat if they’re under 13 and in a booster seat in back if under 8
- Littles are to wear helmets and safety equipment for any athletic activities, including a life jacket during any water activities
- Littles are only allowed in the Bigs home after 3 outings after agreement with the parent or guardian and after any potential pets, weapons, or other risky items are appropriately secured
- Overnight activities are extremely rare and only allowed after the first year of the match
- You are required to let BBBS know if you become aware that a child may be experiencing any trauma, abuse or neglect, or other safety concerns.
By Selecting this checkbox, I agree that I have read, understand, and agree to the full safety guidelines document linked above
I agree
By submitting this questionnaire, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Big Brothers Big Sisters does not discriminate on the basis of race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.
I agree
Type Name Below:
Date
Contact Information