BASIC ELIGIBILITY CHECK | ORANGE COUNTY

Let's gather some basic information to see if you're eligible to volunteer.

Personal Information

First Name

Last Name

Date of Birth

You must be at least 18 years old

Personal Email

Mobile Phone

Mailing Zip/Postal Code

Gender

FemaleMalePrefer not to say

We'll Contact You With More Info

Thank you for your interest in becoming a mentor!

To learn more about our programs and explore opportunities to get involved, visit

ocbigs.org/aboutus.

A staff member from Big Brothers Big Sisters will reach out to you to further discuss your eligibility to participate in our mentoring program.

Select the "next page" button below to submit your response and receive a follow-up email.

Congratulations - you may be eligible to volunteer!

VOLUNTEER APPLICATION

*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.

First Name

As listed on your Driver's License

Last Name

Date of Birth

Please make sure the YEAR is correct.

Home Address

Line 1

Home Address

Line 2

City

State

Zip Code

Cell Phone

Home Phone

Personal Email

Race/Ethnicity

How do you identify?

Additional Volunteer Information

Do you have Military Service experience?

Relationship Status

Have you ever applied to be a Big Brother or a Big Sister?

YesNo

If so, when?

If so, where?

Employment & Education Information

Highest Level of Education Completed

Are you currently employed?

YesNo

Employer

Employer Address

Occupation

Official Job Title

Employer City

Employer State

Employer Zip Code

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Cell Phone

Emergency Contact Home Phone

Relationship to Volunteer

Driver's License & Auto Insurance Information

Driver's License Number

Driver's License State

Driver's License Expiration Date

Auto Insurance Company

Auto Insurance Effective Date

Auto Insurance Expiration Date

Volunteer Terms & Conditions

I, the undersigned, acknowledge and agree that, (1) I am not obligated to perform the volunteer services herein applied for and that the agency is not obligated to assign or actively to seek to assign a Little Brother/Little Sister to me, and (2) as a part of the agency's matching process, additional personal information may be required.

Initials

I understand that information obtained through the application process will be maintained by Big Brothers Big Sisters of Orange County and the Inland Empire (BBBSOCIE) for agency use, recordkeeping, and retention in accordance with applicable legal requirements.

Initials

I, the undersigned, understand that in rare instances, Big Brothers Big Sisters of Orange County and the Inland Empire may be legally required (e.g., through a subpoena or court order) to disclose information included in this application or collected during program participation. I acknowledge that the agency will only release such information as required by law and hereby authorize BBBSOC/IE to comply with such legal requests. I further agree to release and hold BBBSOC/IE harmless for any claims arising from the lawful disclosure of this information.

Initials

I, the undersigned, attest that all of the information provided by me in this application is, to the best of my knowledge, true and accurate, and that I do fully understand all the questions and statements contained herein.

Initials

Initials