Big Brothers Big Sisters Full Volunteer Application

Name:*

Birthdate (day/month/year):*

How do you identify (male, female, transgender, two-spirited, etc):

Which pronoun should be used to identify you? (Eg: he, she, ze, they, etc)

Program of Interest*

Email:*

Phone Number:*

Street Address:*

Postal Address (if different):

Where do you work?*

How long have you worked there?:*

Does your work take you out of town for extended periods of time?:*

Yes
No

Can you be contacted at work?:*

Yes
No

Work Phone Number:

How long have you lived in the area?*

If you have lived at your current address for less than 1 year, please provide your previous address:

Do you anticipate moving from the Battlefords within the next year?*

Yes
No

Do you have any pets?*

Yes
No

Do you own or have access to a vehicle?:*

Yes
No

Ethnicity:

This information is used for the purpose of calculating diversity statistics to enable Big Brothers Big Sisters of Saskatchewan to evaluate our progress to achieving a representative and diverse organization. Our goal is to have representation of the demographics of the diversity within Saskatchewan in our organization that reflects the community we serve.

If you are First Nations, please share with us which First Nation:

Marital Status:*

Partner's Name:

Do you have children?:*

Yes
No

In case of emergency, whom should we contact? (Name, phone number, relationship to you):*

Please list any clubs or organizations you are a member of or participate in:

What interests, hobbies, and activities do you enjoy?:

Have you ever applied to be a volunteer with a Big Brother Big Sisters agency in the past?:*

Yes
No

If yes, where and when?:

Tell us a little about why you are interested in our program?:*

References:

You are welcome to provide your reference information here or bring it with you to your interview. References must be at least 18 years old. References are contacted either by phone or by e-mail, depending on their preference.

Significant Other/Family Reference:

If you have a significant other they must provide a reference. If you do not have a significant other, then a family reference is used.

Name:

Relationship to You:

Address:

Please include city and postal code

Length of time they have known you:

Occupation:

Home or Cell Phone:

Work Phone:

E-mail Address:

Personal Reference:

Your Personal Reference must have known you for at least 2 years.

Name:

Relationship to You:

Address:

Please include city and postal code

Length of time they have known you:

Occupation:

Home or Cell Phone:

Work Phone:

E-mail Address:

Vulnerable Sector Reference/Employment Reference:

Please provide a vulnerable sector reference if you have worked or volunteered with a person or organization responsible for the well-being of children under the age of 18 or with vulnerable persons who, because of their age, a disability, or other circumstances are at greater risk than the general population of being harmed by a person in a position of authority or trust relative to them. If you do not have experience in a position that includes vulnerable sector work, an employment reference is required.

Name:

Business or Organization Name:

Is this position considered within the vulnerable sector as defined above?:

Yes
No

Occupation:

Address:

Please include city and postal code

Length of time they have known you:

Home or Cell Phone:

Work Phone:

E-mail Address:

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Volunteer Full Application (Initial Contact)

References:

Significant Other/Family Reference:

Personal Reference:

Vulnerable Sector Reference/Employment Reference:

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