Big Brothers Big Sisters Volunteer Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

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. 

Basic Information

input N/A if none

If you selected "Write In" above, enter it here

To select multiple, hold CTRL/CMD and click.

File can be a screenshot, PDF, or picture

File can be a screenshot, PDF, or picture. If you do not have auto insurance, please upload your Driver's License again.

Contact Information

Employer Information

Enter N/A if no employer or school

Additional Information

Page 2


Previous Experience

Interest Poll

Other Questions

Agency Policy on All Mentoring Volunteers


Please provide at least four references. A reference from a Spouse or Significant Other is required. Substitute a family member if no Spouse/Significant Other.
Spousal/Familial Reference

Professional Reference

Personal Reference

Personal Reference

Volunteer Experience

You're almost there!

The next few pages include agreements and BBBS forms. Keep going, your form is nearly complete.

Media Consent and Release

Confidentiality Policy 

Big Brothers Big Sisters Services, Inc. respects the confidentiality of client and volunteer records and, with the exception of situations listed below, shares 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 or clients or volunteers themselves.  Records are not available for review by the clients or volunteers.

  •  Information will be released to other individuals or non-BBBS organizations only with the client or volunteer’s written consent or with the understanding that the respective parties have agreed to adhere to this confidentiality policy.

  • Big Brothers Big Sisters Services, Inc. has permission to use the client or volunteer’s name and photograph for the purpose of promoting the agency.  Such use may occur before, during, and/or after participation in the program.  Big Brothers Big Sisters Services, Inc. and their nominees and designees are hereby released from any obligation or liability in connection with any personal or proprietary rights as a result of the sale, reproduction or use of the above-referenced identifying information. 

  •  For purposes of program evaluation, audit, or accreditation, and with the prior approval of the Board of Directors, certain outside bodies such as Big Brothers Big Sisters of America may have access to client and volunteer records.

  • Members of the Board of Directors or evaluators appointed by the board have access to client files upon authorization of the Board of Directors.

  • Information shall only be provided to law enforcement officials of the courts pursuant to a valid and enforceable subpoena.

  • Information shall be provided to an agency’s legal counsel in the event of litigation or potential litigation involving the agency.

  • State law mandates that suspected child abuse be reported to the appropriate authorities (Virginia Department of Child Protective Services Hotline 1-800-552-7096).

  • If an agency worker receives information indicating that a client or volunteer may be dangerous to himself or herself or to others, necessary steps may be taken to protect the appropriate party.  This may include medical referral or report to the local law enforcement authorities.

  • At the time a child or volunteer is considered as a match candidate, information is shared between the prospective match parties.  The information about the volunteer may include such items as: age, sex, religion, interests, hobbies, marriage, family status, sexual orientation, living situation, etc.  Information about the child may include such items as: age, sex, race, religion, interests, hobbies, family situation, etc.

  • The client or volunteer agrees not to disclose personal information about the respective parties to anyone outside of the agency.

My consent below indicates that I have answered all questions on this page truthfully. I am aware that according to Big Brothers Big Sisters Services, Inc. my status as a volunteer makes me a mandated reporter of any suspicion of child abuse and/or neglect.


My consent at the bottom of this page also indicates that I promise to abide by the Code of Conduct for volunteers of Big Brothers Big Sisters Services, Inc.:

  • To avoid the use of tobacco products when in the company of my Little.

  • To refrain from ingesting any alcoholic beverage prior to or during my visits with my Little.
  • To never use illegal drugs at any time.
  • To use no form of physical or verbal abuse (including corporal punishment) against my Little.
  • To have no form of sexual contact between myself and my Little or their family members (includes nudity).

Virtual Platform

Cancellation and Missed Appointment Policy

The agency reserves a certain amount of time for each appointment to ensure that we are conducting high-quality interviews and ensuring program fit. A scheduled interview should be treated in the same manner as any other professional appointment. The agency asks that if you need to cancel or reschedule an appointment, you do so by notifying (via email or phone) the interviewer at least 24 hours in advance of the scheduled interview time. If you do not show up at the originally scheduled time, please understand that your enrollment may be delayed as we have a queue of applicants that will take priority

Rescheduling Appointment Policy

Due to limited staff time, rescheduled appointments or no call/no show applicants may experience delays in the enrollment process. Each applicant (family or volunteer) may have two interview reschedules. If the applicant is unable to attend the third scheduled appointment, the application will close. In this case, volunteers will be eligible to reapply in six months if they have more availability. Families will be eligible to reapply in six months or during the next child enrollment period