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Big Application Form

Shortly after you have completed this form, you will be informed of the arrangements for your personal interview.  Answers to the following questions will aid in matching you with an appropriate Little Pal.

Name:
Address:
Phone Number:
Email Address:
Date of Birth (YYYY-MM-DD):
Marital Status:
Race (Optional):
Gender:
Do you anticipate any changes in your situation or family in the next year?

Employment Information


Current Employer (Company name and address)
Name:
Address:
City:
State:
Zip:
Position or Title:
May we call you at work:
Normal work schedule:

General Background

How can your skill benefit the Big Brother / Big Sister Programme?
What experiences do you have working with children?
What are your interests (You could include hobbies, talents, etc. that might help match you with a Little Pal)
How much time do you anticipate spending with your Little Pal each week?
Do you have any preferences as to whether your Little Pal is a particular?
Religion:
Age:
Race:
Gender:
Do you have any preferences?
Do you have a vehicle or access to a vehicle?
Do you have a criminal history/circumstances that you feel should be discussed with Coordinators of the National Youth Membership Programme?
(Please Explain)
List 3 of your short-term goals:
List 3 of your long-term goals:

Agency Background

Have you ever been a Big Brother / Big Sister
Where?
When?
How Long?
Have you ever applied to be a Big Brother/Big Sister at this or another agency and not been assigned?
Where?
When?
Would you be free for weekend group events?

Training

Would you be able to attend a one day Orientation session during working hours, upon the formal request of the Social Development Department?
Please provide us with two references:
1. Name:
Relationship to You:
Address:
Telephone Number:
2. Name:
Relationship to You:
Address:
Telephone Number:

Please be advised that the information you have provided here will be treated as a confidential, and will only be used by Big Brothers/Sisters of the BVI. By transmitting this document to us it becomes our property. When we receive this document, you will be invited to our next regularly scheduled group orientation meeting for prospective volunteers.

Thank You for Volunteering

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