BBBS Volunteer Application

Volunteer

Non-Discrimination Policy

Big Brothers Big Sisters of Central Indiana follows a non-discrimination policy that prohibits exclusion of potential volunteer Bigs, youth, parents/guardians, board members, or agency staff on the basis of race, color, religion, age, pregnancy, gender, gender identity or expression, sexual orientation, national origin, ancestry, disability, veteran status, marital status, or any other protected class.

If you experience any technical difficulties, please contact:

Joanna Ramon-Verde

jramon-verde@bbbsci.org

(317) 472-3745

Contact Information

Preferred Email

Phone Number

Phone Type

Mailing Address

Mailing Street Address

Mailing City

Mailing State

Mailing Zip Code

Mailing address is different from residential address

Physical Address

Street Address

City

State

Zip Code

Emergency Contact Information

Name

Phone

Relationship

Driver's License and Auto-insurance

Kindly upload a copy of your driver's license or state ID

Do you have personal transportation?

YesNo

Kindly upload a copy of your auto-insurance

Employer Information

Employment Status

Name of Employer

Occupation

Previous Experience

Have you previously applied to be or served as a Big here or anywhere else?

When?

Where?

DCS Involvement

Do you have any past/present involvement with the Department of Child Services?

YesNo

Dates of involvement

Details of involvement

References and Background Check

References are a National requirement for all applicants. Below you will see the individual references required to complete your application. Individuals noted below will be contacted via email and/or phone upon receipt of this information. We do ask for your assistance in notifying your identified references and encouraging completion of our reference form within one week.

Spousal/Familial Reference A reference from a Spouse/Spousal Equivalent or Significant Other is required. We do ask for a "Spousal" reference if you have been in a romantic relationship for 6+ months. If you are not in a relationship, you may provide a family member instead. IF YOU ARE APPLYING TO BECOME A BIG COUPLE, please provide a family member and NOT the spouse you are applying with. This person will be contacted by email or phone call.

Spousal/Familial Reference ID

First Name

Last Name

Email

Phone

Relationship to you

Years Known

Are you applying as a Big Couple or Big Friend?

YesNo

Big Couple/Friend Info

First Name

Last Name

Mobile

Email

Birthdate

Joint Reference Please provide an individual who can speak on behalf of you and your partner or friend that you are applying with (friend, neighbor, community contact, etc.). This person should be the same for both of your applications. This person will be contacted by email or phone call.

Joint Reference ID

First Name

Last Name

Email

Phone

Relationship to you

Years Known

Professional Reference Examples: Co-worker, Supervisor, Teacher/Professor, etc. Only 1 professional reference is required. This person will be contacted by email.

First Name

Last Name

Professional Reference Email

Phone

Relationship to you

Years Known

Personal Reference Examples: Friend, Neighbor, Roommate, etc. Your personal reference should not be a family member. Only 1 personal reference is required. This person will be contacted by email.

First Name

Last Name

Personal Reference Email

Phone

Relationship to you

Years Known

Have you held a volunteer or paid position where you worked with children in the last five years? (for example counselor at a camp, babysitting, nannying, coaching, etc.)

Volunteer Experience

Organization Name

Location

Start Date

End Date

Direct Supervisor First Name

Direct Supervisor Last Name

Phone

Email

Years Known

Reason for Leaving

I understand that to be considered as a Big I must comply with the following:

I am 19+ years of age
I am able to meet with a child 2-4 times a month (minimum of 4 hours/month) for one year.
I have a valid I.D. (driver's license/state I.D.).
I have reliable transportation, with valid auto insurance. I will disclose any license suspension(s). (If a volunteer has a significant history of driving record offenses, it will be at the discretion of the Chief Program Officer if the applicant is accepted).
I have been free of alcohol and drug abuse/dependency for at least 3 years, and I have not used illegal drugs or controlled substances in the past 3 years.
I do not have a criminal record involving a violent crime. I do not have a criminal record within the past 3 years.
I am willing to disclose medical and mental health history that would affect my ability to mentor a child.
I will attend an interview with a BBBSCI Specialist.
I will give consent for BBBSCI to complete a fingerprint, background, sex offender and driving record check. *
I will submit 3+ personal references. I understand all references will be contacted by a BBBSCI staff member via email or telephone.
I will attend the required training sessions assigned to me.
Our enrollment process is designed to result in long-strong, and healthy match relationships. For a variety of reasons, we may not feel our BBBSCI program is the best fit for an applicant. An applicant may be notified at any point during their involvement with the BBBSCI program. Reasons for non-acceptance will not be disclosed.

*Note: All applicants will be asked to pay $25 towards background checks, allowing our agency to invest more of our resources in directly serving children in the community.

I accept the terms and conditions

Publicity and promotional materials for Big Brothers Big Sisters are conducted in a variety of forms. By selecting below I authorize Big Brothers Big Sisters to identify me in the media as a Big Brother or Big Sister using my full name. I also give permission for the use of other forms of media including but not limited to written word, photo, video, social media, and voice recording.

I agree

Release of Information Authorization for Background Check

AUTHORIZATION

By signing below, I, hereby voluntarily authorize Big Brothers Big Sisters of Central Indiana to obtain either a consumer or an investigative consumer report about me from Safe Hiring Solutions Inc. and to consider this information when making decisions regarding my application for and/or continued employment, contract for services or volunteer services at Big Brothers Big Sisters of Central Indiana. This report may be delivered in either written or electronic form.

I hereby authorize Safe Hiring Solutions Inc. or another approved provider, on behalf of Big Brothers Big Sisters of Central Indiana, to procure a social security number verification, criminal background report, sex offender registry report and driving record check. This report may be compiled with information from courts record repositories, departments of motor vehicles, and any other source required verifying information that I have voluntarily supplied. And/or
I hereby authorize The Indianapolis Metropolitan Police Department, on behalf of Big Brothers Big Sisters of Central Indiana, to procure a criminal background check. This report may be compiled with information from courts records repositories, and any other sources required.

Signature

Final Steps!

**Once you click Submit, you will be directed to complete your required background check (MVR and Sex Offender Registry). We do ask volunteers to pay $25 towards this check to help offset cost incurred.

American Indian or Alaska Native	Asian - Chinese
Asian - Filipino	Asian - Indian
Asian - Japanese	Asian - Korean
Asian - Other	Asian - Vietnamese
Black or African American	Hispanic - Cuban
Hispanic - Mexican,Mexican American,Chicano	Hispanic - Other Latinx or Spanish origin
Hispanic - Puerto Rican	Middle Eastern or North African
Other	Pacific Islander - Chamorro
Pacific Islander - Native Hawaiian	Pacific Islander - Other
Pacific Islander - Samoan	Prefer not to say
White or Caucasian