Hidden Fields

Contact ID 18 Character

Enrollment ID 18 Character

Contact Owner ID

Contact Owner Email

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Mentor With Us!

For nearly five decades, Big Brothers Big Sisters of Utah has connected youth with mentors who provide encouragement, consistency, and new opportunities. Our mission is to create and support one-to-one mentoring relationships that ignite the power and promise of youth. Thank you for being part of something bigger, one match at a time.

Learn more HERE

Basic Information

First Name

Last Name

Birthdate

Gender

Race/Ethnicity (press & hold "CTRL" for multiple selections)

Nationality (press & hold "CTRL" for multiple selections)

Other Race/Ethnicity

Other Nationality

Tribal Affiliations

How do you identify?

Contact Information

Street Address

City

Zip Code

State

Email

Mobile Phone

Which community do you live in?

Pre-Interview Questions

Prior to your 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 interview.

Have you reviewed the Drug Free Policy?

Yes

Have you ever been accused, arrested, charged, or convicted of a crime?

Please Describe

Have you ever used an illegal substance? (this would include the underage use of alcohol)? If yes, what was the substance? In which state or country did you use the illegal substance? How long has it been since your last use? If under 18 enter "Under 18"

Please Describe

Are you currently being treated for, or have you in the past sought professional help for substance abuse issues?

Please Describe

Do you anticipate any significant life changes over the next year or have you had any this past year? (ie. job or schedule changes, moving, new family member, etc.)

Please Describe

Do you have reliable transportation?

Please Describe

Do you have any concerns about your ability to fulfill the 12 month commitment required of mentors?

Please Describe

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.

Any client who feels unfairly found not eligible for services may then appeal to the President/CEO. Should resolution not be reached at that level, an appeal within ten days to the Board Chair might be appropriate. This appeal must be written and include clear statements of the alleged grievance and reason for appeal.

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.

I have answered these questions honestly and completely to the best of my knowledge.

Permission to Contact via Text

Do you agree to receive communications by text message about your inquiry? You may opt-out by replying STOP or reply HELP for more information. Message frequency varies. Message and data rates may apply. You may review our Privacy Policy to learn how your data is used.

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