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Volunteer Online Application

School Friend applications are currently being accepted for the Spring 2008 semester.

* Indicate the program for which you are applying, one application per individual please.
(Couple or family matches should fill out one application for each adult.)
    Individual Match
    Couple Match
    Family Match    		 School Friends
    SOL Mentor (Spanish)
Individual Match

Big Brothers and Big Sisters make a one-year commitment to meet one-on-one with a child three to four times each month. Volunteers transport the children to and from their day's activity. The adult and child decide together what the activity will be and when to schedule their meeting.

* Name: First: Middle Initial: Last:
* Email
* Date of Birth:
* Home Address:
* City:
County:
* State:
* Zip:
Phone Numbers:
* Primary:
Secondary:
Cell Phone:
* Gender: Male Female
* Social Security #:

Employer:
Address:
City:
County:
State:
Zip:
Occupation:
Can we contact you at work? Yes No
Work Hours:
How Long Employed:
* Are you a full time student? Yes No
Highest Level of Education:
* Ethnicity:
African-American
Pacific Islander
Native American 		Asian
Bi-Racial
Hispanic		 Caucasian
Multi-Racial
Other
* Marital Status:
Single
Separated		 Living w/ Partner
Divorced 		Married
Other
    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.

* State of Issue:
* Driver's License #:
* Expiration Date::
References:

Please provide contact information for 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. If you are under age 18, your parent must be a reference.
Reference 1
*Employer's Name (or school if student):
* Supervisor's Name (or teacher if student):
* Relationship:
* Address:
* City:
* State:
* Zip:
* Day Phone:
Fax:
Email:
Reference 2
*Coworker/Friend/Neighbor:
* Relationship:
* Address:
* City:
* State:
* Zip:
* Day Phone:
Fax:
Email:
Reference 3
*Spouse/Domestic Partner/Friend:
* Relationship:
* Address:
* City:
* State:
* Zip:
* Day Phone:
Fax:
Email:
Have you ever applied before to be (or have been) a Big Brother or Big Sister?
Yes No
Where and When:
Were you referred by a current Big Brother or Big Sister?
Yes No
If yes, who?
Have you ever been involved before with Big Brothers Big sisters in a capacity other than a Big?
Yes No
Where and When:
What, if any, other youth organizations have you worked for or been involved with as a volunteer?
Do you have any medical conditions, which may limit your ability to serve as a volunteer?
Yes No
If yes, please explain:
Do you object to Big Brothers Big Sisters of Dane County requesting public information, from local and national authorities (such as the state Department of Motor Vehicles or the Crime Investigation Bureau) regarding your background and/or history?
Yes No
* By checking this box I acknowledge that I understand the following:
  1. The references I listed may be contacted by mail, telephone, or email;
  2. I am in no way obligated to perform any volunteer services;
  3. 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 lay for volunteers working with youth;
  4. The BBBS agency is not obligated to match me with a youth;
  5. Other BBBS agencies or youth organizations where I have worked or volunteered may be contacted an references; and,
  6. As part of the enrollment processes, I will be asked to provide additional personal information prior to any recommendations for assignment.

* REQUIRED FIELD