Volunteer Application The path to becoming a BBBS volunteer begins here. To apply to become a volunteer, please provide the following information: Please enable JavaScript in your browser to complete this form.Your Name *FirstMiddleLastEmail *EmailConfirm EmailDate of Birth *Gender *Choose OneMaleFemaleEthnicity *Marital Status *Choose OneMarriedWidowedSeparatedDivorcedSingleHome Phone *Cell Phone *Address *City *StateSelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsZip Code *Work Phone *May we contact you at work? *Yes or NoYesNoOccupation *Employer *Employer's Street Address *City *StateSelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsZip Code *Work Hours *How long have you been employed there? *Highest Level of Education *Select OneHigh SchoolSome CollegeBaccalaureate DegreePostbaccalaureate DegreeDo you have a driver's license? *Yes or NoYesNoLicense #State of IssueSelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsExpiration DateREFERENCE #1 - Name of a current/past employer who has known you for at least one (1) year: *(or school if a student)Supervisor's Name *(or teacher if a student)Address *City *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsZip Code *Day Phone *FaxEmailEmailConfirm EmailREFERENCE #2 - Name of a co-worker, friend or neighbor who has known you for at least two (2) years:Address *City *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsZip Code *Day Phone *Fax EmailEmailConfirm EmailPREVIOUS VOLUNTEER EXPERIENCE: Have you ever applied to be (or have been) a Big Brother or Big Sister? *Yes or NoYesNoIf yes, where and when?What, if any, other youth organizations have you worked for or been involved with as a volunteer? Have you ever been involved with BBBS in a capacity other than a Big? *Yes or NoYesNoIf yes, where and when?QUESTIONNAIRE: Parents of youth in our programs often ask us questions about someone with whom their child will be matched. This information will also help us make a better match for you and ensure that we can support you during your involvement with our programs. We will only release information to a parent with your expressed permission. *I understand that this information will only be released to a parent with my express permission.Which do you enjoy more? *Select OneIndoor ActivitiesOutdoor ActivitiesNo PreferenceWould you describe yourself as a person who enjoys: *Select OneWatching events/activitiesActivitly participating in activitiesBothDo you have guns or ammunition in your house? (Safety precautions may be necessary) *Yes or NoYesNoWould you be able to secure or otherwise make unavailable any youth inappropriate viewing materials in your home? (These include TV channels, internet access, etc.)Yes or NoYesNoIf not, please explain:Do you have any pets? (Safety precautions may be necessary) *Yes or NoYesNoIf yes, what kind of pet(s)?Are you having any physical or mental health problems? *Yes or NoYesNoIf yes, please explain:Have you ever been arrested, charged, or convicted of a crime? *Yes or NoYesNoIf yes, please explain:Have you had any driving citations or moving violations in the past 5 years? *Yes or NoYesNoIf yes, please explain: How long have you lived in the area? *Do you anticipate any significant life changes over the next year or have you had any in the past year? *Yes or NoYesNoIf yes, please explain:Do you speak any foreign languages? *Yes or NoYesNoIf yes, please list:Is there anything else you would like to tell us about yourself or do you have any questions? ACKNOWLEDGEMENT: By submitting this form, you understand that: The references listed above may be contacted by mail, phone, or e-mail; You are in no way obligated to perform any volunteer services; The information provided may be used to conduct a background check, to include driving records check, criminal background check, and other records where required by local, state, or federal law for volunteers working with youth; The BBBS agency is not obligated to match you with a youth; Other BBBS agencies or youth organizations where you have worked or volunteered may be contacted as references; As part of the enrollment process, you will be asked to provide additional personal information prior to any recommendations for assignment. *NameSubmit Application