Volunteer Application and Permissions

Please read this document in its entirety. By checking each box below, you are agreeing with Big Brothers Big Sisters of Eastern Massachusetts (BBBSEM) to the terms that follow.

Please check each box!

I agree to answer all of BBBSEM’s questions in a truthful manner. I will disclose all available information with BBBSEM staff and will make child safety a top priorityI agree to allow BBBSEM staff (a certified child mentoring program by the Criminal History System Board) to request and receive Criminal Offender Record Information (CORI) pursuant to M.G.L.c.6, § 172(c) for volunteers who may have unmonitored access to children. I also fully release, indemnify, and discharge BBBSEM to seek information as available through national criminal record checks, SSN verification and MVR record checks. I understand that all legal record checks will be conducted to review conviction and pending criminal case information only and that this information will be used to evaluate my potential for participation. I understand that the contents of a criminal record will not be distributed in accordance with M.G.L.c.6.§167-178, et seq.I agree to and understand my role in keeping all information provided about a child(ren) and guardian(s) confidential. I accept responsibility to maintain the complete confidentiality of all personal information, documents and parties who are engaged in this partnership. This includes refraining from divulging, duplicating or making known information obtained during or after my matching process with BBBSEM staff. I understand that a breach of confidentiality may result in termination from the BBBSEM program and/or other legal remediesI agree to and understand that all confidential information provided by BBBSEM is based on professional judgment. I understand that information is solicited in an interview setting. Summarizations may contain subjective information and, thusly, there is potential for factual and/or other inaccuraciesI agree to grant permission to BBBSEM staff to pursue information from relevant 3rd parties (including youth serving organizations, significant others, etc) with insight about my appropriateness as a mentor figure that may have unmonitored access to a child

Please make us aware of your preferences on the following topic:

Media Permissions

I allow BBBSEM staff and media representatives to take my photograph at BBBSEM events. I understand that photographs and videos may be used to promote the mission of BBBSEM. My preference related to photography is:

By submitting this application and typing your name below, you are affirming that the facts set forth in it are true and complete. You understand that, if you are accepted as a volunteer, any false statements, omissions or other misrepresentations made 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.

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