Volunteer Application
Questions marked by * are required.
1.
First Name: *
2.
Last Name: *
3.
Gender: *
4.
Pronoun:
5.
Address: *
6.
City: *
7.
Zip Code: *
8.
Primary Phone: *
9.
Email Address: *
10.
Ethnicity: *
11.
Birthdate: *
12.
Please select program(s) of interest: *
One-to-One Match Program (2 to 4 times a month for at least a year)
After-School Program (Tues or Wed, 2:30-5:30pm, -for at least 6 months- in Watsonville)
13.
How did you hear about the agency? (OR How were you most recently reminded?): *
BBBS National
GoodTimes advertisement
Newspaper article/ad
TV commercial / Movie
VolunteerMatch.org
Volunteer Center of SC County
University/College
Volunteer Center
Friend/Colleague
Presentation given @ workplace
Google search (mentoring)
14.
Do you have access to a car? *
Yes
No
15.
Do you have auto insurance? *
Yes
No
16.
Occupation:
17.
Employer: *
18.
Name and Phone for Current Employer Supervisor (OR Current Professor) *
19.
Length of Employment:
20.
If with current employer less than three years, please provide name of past employer(s) (equaling 3 years of employment):
21.
Do you have children? *
Yes
No
22.
Years of Trade School/College:
23.
How long at Current Address: *
24.
Do you rent or own? *
Rent
Own
25.
With whom do you live? *
26.
Please list your previous addresses (in the past 3 years):
27.
Personal Reference #1 (spouse, significant other or close family member): *
28.
Personal Reference #1 Phone: *
29.
Personal Reference #2 (longtime friend or someone who has seen you interact with children): *
30.
Reference #2 Phone: *
31.
Personal Reference #3 (longtime friend or someone who has seen you interact with children): *
32.
Reference #3 Phone: *
33.
What specific interests and aspects of yourself would you offer as a volunteer?
34.
Please list your volunteer experience (especially with children):
35.
Have you ever been a Big Brother or Big Sister (or been in a similar program)? If so, what program and where?:
36.
Are you planning any major change within the next year (place of employment, promotion, etc)? If so, please explain: *
37.
List three things you like about yourself: *
38.
List three things you would like to change about yourself: *
39.
What appeals to you most about becoming a Big Brother or Big Sister: *
40.
What apprehensions or hesitations do you have concerning this commitment? *
41.
Please list other languages you are fluent in: