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| Possession of a driver's license is not a requirement to participate in any of our programs but is required if you will be transporting a youth in any vehicle you are operating. |
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Please provide the information below requested for the following three references: 1) your current or past employer who has known you for at least 1 year; 2) a co-worker, friend or neighbor who has known you for at least 2 years; and 3) a close family member (spouse/domestic partner) or a second friend who has known you for at least 3 years. |
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1. Employer's Name (or school if student):
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Supervisor's Name (or teacher if a student):
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Address:
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City:
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State:
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Zip:
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Day Phone #:
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Fax #:
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Email:
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2. Coworker or Friend or Neighbor:
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Address:
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City:
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State:
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Zip:
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Day Phone#:
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Fax #:
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Email:
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3. Spouse/Domestic Partner/Friend:
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Address:
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City:
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State:
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Zip:
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Day Phone #:
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Fax #:
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Email:
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Have you ever applied before (or have been) to be a Big Brother or Big Sister?
Yes
No
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Where and When:
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What, if any, other youth organizations have you worked for or been involved with as a volunteer?
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Have you ever been involved before with Big Brothers Big Sisters in a capacity other then a Big?
Yes
No
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Where and When:
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I understand that:
- The references I listed may be contacted by mail, telephone, or email;
- I am in no way obligated to perform any volunteer services;
- The information I 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 me with a youth;
- Other BBBS agencies or youth organizations where I have worked or volunteered may be contacted as references; and,
- As part of the enrollment processes, I will be asked to provide additional personal information prior to any recommendations for assignment.
I have read and understand the six (6) points listed above. Upon submitting this application I understand that the volunteer pre-enrollment process for Big Brothers Big Sisters (BBBS) includes motor vehicle, criminal, personal, and employment background checks. I authorize BBBS to conduct these checks to the degree to which it deems necessary. I understand that the information will be used to determine my eligibility for a volunteer position and that all information will be kept confidential.
I Agree
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| Signature:
Date:
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