BBBS LOGOSports Buddies: Volunteer Application

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Mentor Program


Volunteer Information
*NOTE:  THE BELOW QUESTIONS ABOUT YOUR ETHNICITY, MARITAL STATUS, GENDER/SEXUAL IDENTITY AND RELIGIOUS PRACTICE ARE USED ONLY TO HELP CHOOSE THE MOST BENEFICIAL MATCH FOR YOUR LITTLE.  THIS INFORMATION WILL NOT BE CONSIDERED IN DETERMINING WHETHER OR NOT YOU ARE ACCEPTED INTO THE PROGRAM.

As listed on your Driver's License



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Additional Volunteer Information
Branch, To & From Date, Rank at Discharge, etc.
Employment & Education Information
The total # of years completed in a school setting










Emergency Contact




References
Personal
Reference #1: Friend (acquainted at least 2 years, non-relative)






Spousal/Significant Other
Reference #2: Spouse or Significant Other (if not applicable, include additional friend)






Professional
Reference #3: Current Employer/Supervisor (if self-employed please include client/business partner or other non-relative)






Experience









Volunteer Pre-Enrollment Questionnaire
Prior to your in-person interview, we would like you to answer the questions below. Parents of youth in our programs will often ask us questions about someone with whom their child will be matched. We will only release information to a parent with your expressed permission. The information you give will also help us make a better match for you and assure we can support you during your involvement with our programs.


















Select all that apply



ADHD, Anxiety, Depression, etc.


Terms and Conditions
Please initial each item to complete form.
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Applicant Signature
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Media Consent and Agreement

Please initial one of the two boxes below and sign and complete all information at bottom of form.

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Communication Consent & Agreement

Please initial one of the two boxes below and complete form with your signature and date.

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ATHLETIC WAIVER AND RELEASE FORM

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RELEASE AND WAIVER OF LIABILITY

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