BBBS High School Bigs Application

Non-Discrimination Policy

Our participants come to us with a wide range of personal characteristics. We believe that participant eligibility shall be determined without regard to race, color, religion, national origin, gender, marital status, sexual orientation, gender identity, veteran status, or disability. 

Note to the Applicant 
This application is used to obtain information required by BBBS of America. On pages 1-3 this is information about you including contact information, references, and criminal history. Pages 4-6 share BBBS Miami Valley's Policies and are strictly for you to read. If you have questions about the application please contact Mackenzie at mneville@bbbsmiamivalley.org
Hidden Fields




Basic Information












To select multiple, hold CTRL/CMD and click.





File can be a screenshot, PDF, or picture
Contact Information





















Employer / School Information






Additional Information






How did you hear about us?
Answering the questions below helps our agency to continue to recruit Bigs (mentors) to match with the Littles (mentees) in our communities! 



References and Background Check

Previous Experience










Volunteer Experience




If still involved leave space blank






Please provide at least three references below including:
  • Your Parent / Guardian 
  • Current or former teacher
  • A friend or neighbor you have known for at least two years (must be 18 or older)
Parent/Guardian Reference







Professional Reference - Teacher







Minimum 1 year
Personal Reference







Minimum 2 years

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.  


Confidentiality and Digital Platform Policies

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 BBBS 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, BBBS is not required to disclose reasons for doing so; 
  5. Other BBBS 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. It is my responsibility to update the agency if any of the information I provide 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.)
  11. I agree to complete questionnaires throughout my time in the program to evaluate and improve program services;
  12. I agree to timely communication and follow-up with all agency staff as required by the agency.

In order for Big Brothers Big Sisters Miami Valley to provide a responsible and professional service to clients, it is necessary for volunteers to be asked to divulge personal information about themselves. The agency respects the confidentiality of client and volunteer records and only share information about clients and volunteers only among the agency professional staff.


All records are considered the property of the Agency and not the agency workers, clients, parents/guardians or volunteers themselves. Records are not available for review by the parent/guardian of the client or volunteers. In order to provide a service, which is in the best interest of the children served by the program, information from outside sources, including confidential references must be assessed along with information gained from the clients, parent/guardian or volunteers. 



Child Safety Guidelines and Ground Rules for Volunteers                                                                      


  I agree to limit my participation in this Big Brothers Big Sisters site-based mentoring program to activities outlined in the Program Guidelines.  If I would like to extend my mentoring relationship beyond the Program Guidelines, I understand that I must contact the Big Brothers Big Sisters representative in this program to discuss my interest and to complete any additional screening procedures that may be required.

 

2.   I voluntarily and knowingly authorize for volunteer purposes only, any law enforcement agency, state agency, federal agency, consumer reporting agency, personal reference, and/or other person, to give records or information they may have concerning my criminal history, motor vehicle history, general reputation, character, or any other information requested to Personnel Security, Inc. and/or its agents or representatives.  I voluntarily and knowingly unconditionally release any named or unnamed informant from any and all liability resulting from the furnishing of this information.

 

3. Big Brothers Big Sisters reserves the right to reject a candidate for any reason that the association, in its sole judgment, determines will or may affect either the best interests of the children/youth or Big Brothers Big Sisters Miami Valley.  Furthermore, Big Brothers Big Sisters reserves the right to withhold the reason(s) for such refusal.

Application Acknowledgement

I understand that this is an application for a volunteer opportunity and is not a promise or commitment by Big Brothers Big Sisters.

I certify that all information I have provided or will provide to Big Brothers Big Sisters, including this application, is true, accurate, 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 in 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 any and all infractions, violations, charges, and convictions related to any civil, domestic, or criminal matters.  I understand that BBBS staff needs to be fully informed to provide the best guidance or support possible.  

Contact Information