Big Application

Big Brothers Big Sisters

7 Rivers Region

Volunteer Application
Thank you for your interest in becoming a Big Brother, Big Sister, Big Couple, or Big Family - we're excited to work with you!

After receiving your application, we'll reach out to you with more details. We've made the online application as easy as possible. There are many questions, this helps us get to know you right off the bat. This helps us to create the best match for you and your Little!

You are minutes away from changing a life for the better, forever!
What sparked your interest in becoming a Big? *

Radio TV Facebook Twitter Presentation
Referred by (optional):
Name
Our Program Options
Please keep in mind that each program asks for a 1 year commitment as this is proven to have the best outcomes for youth!

Community-Based mentoring relationships are the most impactful. They involve one-on-one outings and activities that both the Big and Little are interested in right here in our community.

Site-Based mentoring involves helping a child realize their potential at school or another site based location. Kids enjoy having their Bigs meet with them there, whether it’s in the classroom or on the playground or at a club.

Site-Based Plus mentoring involves primarily meeting at the school or other site but have the option to attend BBBS and community activities outside of the site.

For a full list of programs, click here: BBBS7 Program Guide
What program are you most interested in? *
Details About You
Name: *

First Name Last Name
Birth Date *

Month Day Year
Date
Age *
Gender *
Pronoun *
Marital Status: *
Phone Number: *

Area Code Phone Number
Additional Phone Number:

Area Code Phone Number
E-mail Address:
Address (Listed on Driver's License): *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Current Address (If different than above):

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How do you prefer to be contacted (select all that apply)? *

Phone Text Email
Emergency Contact: *
Name
*
Phone Number
Do you have a valid driver's license? *

Yes No
If yes, please list state and license number:
Expiration Date

Month Day Year
Date
Please check which of these apply to you: *

I own my own car I have access to a car I use only public transportation I do not have access to a car or public transportation
Race/Ethnicity (check all that apply) *

American Indian Asian AfricanAmerican/Black Hispanic or Latino Caucasian or White Other
Being a Big does involve a consistent commitment. As you consider becoming a Big, be aware that significant life stressors can negatively impact your ability to consistently spend time with your Little for at least 12 months. While none of the events listed below would automatically disqualify you from becoming a Big, we do want to consider them, as they could ultimately affect the quality and length of your match. Looking forward 18 months, do you anticipate any of the following significant life events? *

Changing jobs or employment status Marital/family status (marriage, divorce, pregnancy, adoption, caring for parent, etc.) Moving (either within the area or out of town) School status (expecting an especially busy semester, changing schools, graduating)
Current Employer and Occupation
Length of Employment
Work hours:
Are you a current student?

Yes No
If so, what school?
Education:

Less than High School High School Trade School Associates Degree Bachelors Degree Masters Degree Professional Degree
Military Service?

Yes, active Yes, retired No
If so, what branch?
What was your discharge status?
Do you have any time constraints or obligations that could prevent you from meeting a 1 year commitment to meet with your mentee 2-4 times per month?

Yes No
Think about the time you will want to spend with your Little in order to build a strong, lasting relationship. Will you be able to fit this into your schedule?

Yes No
Youth Serving Experience
Have you worked with children / youth in the past in a volunteer or paid capacity? *

Yes No
If so, when and where?
Have you ever been terminated or fired from a paid or volunteer position?

Yes No
If so, when and where?
Youth Service Organization Reference(s):
Name of Organization
Name

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com
Name of Organization
Name

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com
Name of Organization
Name

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com
Criminal History
Have you ever been arrested, charged, or convicted of any misdemeanor or felony in this state or elsewhere? *

Yes No
If so, when and where?
Have you ever been charged with a DUI/OWI or other serious vehicular charge? *

Yes No
If so, what, when and where?
Others:
Details to help us make a great match!

We'll use this to help find you the right Little on our waiting list.
Which of the following did you experience during adolescence / high school? (Check all that apply) *

Grew up in another country Worked while in High School Took care of family/siblings A single parent household Was a high performing student Was a low performing student Got in trouble a lot in school Was outgoing Was shy Bullied or had social struggles Parents were divorced Was raised by a grandparent Was in Foster care
What is your motivation for becoming a Big? *
What strengths do you think will help make you a great mentor? *
Are there additional skills, interests and hobbies that you'd like us to know about when making your match? *
I understand that: (please check the following) *

As part of the BBBS enrollment process, I will be asked to provide additional personal information prior to making any recommendations for my match.
*

The BBBS agency is not obligated to match me with a youth and may deny my application or close my match at any time, and to protect all participants’ confidentiality, Big Brothers Big Sisters is not required to disclose reasons for doing so.
References

Please list three (3) references that fit the following categories:
Reference 1: Spousal/Significant Other (Must be living with them to list as a reference). *If no spouse/significant other, please list a family member (parent/guardian or sibling).
Name: *

First Name Last Name
Relationship to you: *
Phone Number *

Area Code Phone Number
Email
example@example.com
Years Known: *
Reference 2: Employer/Coworker
Name: *

First Name Last Name
Relationship to you: *
Phone Number *

Area Code Phone Number
Email
example@example.com
Years Known: *
Reference 3: Personal
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Email
example@example.com
Years Known: *
Relationship to you: *
Should be Empty:

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Youth Serving Experience

Criminal History

Details to help us make a great match!