BBBS St. Joe - Volunteer Online Q&A

Thank you for completing the BBBSKC Online Q&A. The Online Q&A allows us to get to know you more. Please answer all questions in the Q&A. As a reminder, the next step is your home visit with your assigned Enrollment & Matching Specialist.

Contact Information

Are you applying as a:

Who would you like to be a Big Couple with?

First Name

Last Name

Phone

Email

Preferred method of contact

Home Environment

Where did you grow up?

In what other cities / states / countries have you resided?

Can you generally describe your home environment? Your neighborhood?

Who else lives there? (Please list their names and relationship to you.)

Do you have pets?

Please describe your pet (name, breed, age, personality).

Is there a hand gun, firearm, or any type of weapon in your home?

If yes, what kind? Where is it kept and how is it stored? (e.g. gun cabinet, trigger lock).

Is it loaded or is the ammunition stored separately?

Youth Experiences

Have you ever been or applied to be a foster parent?

When were you a foster parent? How long were you a foster parent? Describe the experience.

Have you ever adopted a child or applied to adopt a child?

When? Describe the experience, please include names and ages of adopted children.

What (paid or volunteer) experiences have you had being around or relating to children? For example: babysitting, in the community, friend's kids, coaching, etc.

Have you volunteered with a youth serving organization within the last 5 years?

Please describe the volunteer experience including dates of service.

BBBS is required to obtain a reference from the youth serving organization. Please share name, number, and email for a reference at the youth serving organization.

Aside from children of your own, how much time do you current spend with children? In what capacity? (babysitting, coaching)

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

What was the name of the agency where you applied?

Were you accepted?

Were you matched?

Tell us about your match and relationship with your Little. When and for how long were you matched?

What caused the relationship to end?

How often do you speak with them? When was the last time you spoke with them?

Have you ever been terminated or fired from a paid or volunteer position in which you worked with children?

Please explain.

Education

Where did you attend High School?

Do / Did you attend college or trade school?

List your degree(s), the date you received it / them, and from which educational institutions.

Do you have any future plans to continue your education?

How would continuing your education impact your time commitment to be a Big?

Work

Are you currently employed?

Where do you work? What is your position?

How long have you worked there?

Discuss your most recent employment. What type of work were you doing?

How long were you there? Why did you leave?

Are you looking for employment?

Do you have any military experience?

When did you serve? What branch?

Are you currently active?

Please describe your position held and job duties.

Where have you been stationed?

Have you ever been deployed? When and where?

We will need a copy of your DD214 to complete your application with BBBS. Do you currently have this document?

We will need a military clearance to complete your application with BBBS. Are you able to obtain this document?

Are you currently deployable?

Why did you leave the service?

What was your discharge status?

Family

Describe your childhood family dynamics. Who did you grow up with and what are your current family relationships like?

What is your relationship status?

What is your sexual orientation?

When was your last relationship? Why did it end?

Please briefly describe your dating history.

Have you been in your current relationship for over 1 year?

Describe your significant other. (Name, age, personality)

BBBS is required to obtain a reference from your significant other. Please provide the name, email, and phone number for your significant other so that we can reach out for a reference.

Do you have children?

Do you plan to have children? If yes, when?

Please list their name, age, and gender.

Please describe your relationship with your children.

What do you like to do with your children?

How will your children feel about you spending one-to-one time with another child?

What is your approach to discipline with your own children?

History & Health

Describe your physical health. Any physical health issues that may impact the match and what activities you can participate in?

Do you take any medications for your physical health?

What medications are you taking? For what purpose?

Do you have any past history of trauma or abuse?

Provide a brief explanation here.

Are you currently in counseling or have you been in counseling in the past?

For what reasons did you seek counseling?

How would you describe your emotional health?

Has a doctor ever prescribed medications for emotional symptoms?

Describe those medicines here.

Have you ever been hospitalized to help you handle emotional problems?

Was it your choice to be hospitalized or was it required?

When did this take place?

Have you ever gone through a rocky or stressful time and thought about seeking counseling but did not?

Elaborate here on why you didn't seek counseling.

Have you ever felt confused by your sexual identity?

Please elaborate.

When you were growing up, did someone older than you ever approach you in an inappropriate way?

Please elaborate.

Did you tell anyone? How did this experience affect you? Did you receive counseling?

As an adult, have you ever had a sexual encounter with a child?

Please explain.

Have you ever had thoughts or feelings about inappropriate encounters with children even though you did not act on them?

Please explain.

Have you ever been accused of engaging in inappropriate activity with children?

When and what happened?

What do you suppose leads some adults to engage in sexual activity with children of any age?

When adults engage in sexual activity with children, who do you feel is responsible?

Authorization for Release of Information of Physician / Therapist

Since you are currently in counseling, Big Brothers Big Sisters Kansas City is required to reach out to your therapist for a reference. Please complete this release form so that your therapist can provide a reference.

I authorize the release of information to Big Brothers Big Sisters about the nature of my treatment and an assessment of my ability to provide directed friendship to a child. The purpose of this information is so that Big Brothers Big Sisters can assess my strengths and weaknesses in preparation for a possible match with a child. This consent expires one year from the date below unless expressly revoked earlier.

Volunteer Name

Date

Therapist Name

Therapist Phone Number

Therapist Email

History & Health Continued

Do you drink alcohol?

How often? How much?

Could you refrain from drinking alcohol prior to and while spending time with a child?

Has anyone ever told you that you drink too much? If yes, who?

Have you ever had a problem with alcohol? If yes, when? For how long?

Have you ever been treated as an inpatient or outpatient for alcohol dependence?

Where? When? What were the results?

Have you ever attended meetings to stop drinking?

Where? When? What were the results?

Have you ever experimented with drugs?

What kind? When?

Do you use any kind of drug now? If yes, what kind, how often, and when was the last time?

Have you ever had a problem with drugs?

When and how long?

Have you ever been treated for drug dependence? If yes, when? Where? How?

Was it your choice to be admitted or was it required?

What has been your experience with substance use or addiction, either personally or with someone you know?

Do you smoke cigarettes or use any other forms of tobacco?

How often? Could you refrain from tobacco usage around a Little Brother / Litttle Sister if necessary?

Have you had any moving traffic violations?

When? Where?

Have you had any automobile accidents or violations?

When? Where?

Have you had a D.U.I. / D.W.I?

When? Where?

Has your license been suspended or revoked?

When? Why?

Have you ever been involved with the juvenile authorties?

What for? When? Where?

Have you ever been arrested or taken in for questioning?

What for? When? Where?

Have you ever been charged or convicted of a crime?

What for? When? Where?

Lifestyle & Personality

Do you belong to any professional or recreational organizations, groups, or teams? How often do you participate?

Who makes up your current circle of friends?

Do you know anyone else involved in the program? If so, whom?

What languages do you speak?

What is your current religious affiliation? How big of a role does your faith play in your life?

Do you plan to attend religious activities with your Little?

What social media accounts do you have?

In regards to your online presence, is there anything on there that would be inappropriate for a child to read or view?

What do you consider your strengths?

Describe the things that are most important to you (value system).

Matching

We welcome and enroll Bigs, Littles and family members of all races, ethnicities, religions, marital status, genders, age, and sexual orientations. We are committed to making sure our programs are inclusive of all youth, families, volunteers, and staff.

As we look for a match for you, would any of these demographics be a deal breaker for you?

Diversity, Equity, & Inclusion

BBBSKC believes that diversity, equity, and inclusion are essential parts of our mission to defend potential for kids in our community. We strive to embrace true representation in our brand, diversity of people and perspectives, and inclusion in all areas of our organization so we can make a generational impact on our community through life-changing friendships. We believe all children have potential, and we work to defend that potential.

Click here to read the full BBBSKC DEI Statement

By checking this box, you indicate your agreement and alignment with BBBSKC's core values:

I agree