Mentor Application - Big Brothers Big Sisters of Centre Wellington

Which programs are you interested in volunteering with?

Big Brother/Big Sister (One to One Match)
Couples Match
Go Girls!
Game On!
Beyond the Box
In School Mentoring

Full Name:

Pronoun(s) I.e. They, Them, Her, Him, She, He..etc.

Date Of Birth*

Address:

Postal Code:

Length of time at this address:

How long have you lived in the area?

Home Phone:

Cell Phone:

Email*

Work Phone:

Can we call you at work?

Yes
No

Volunteers must be older than 18 years old to volunteer with children and youth in our programs. Are you older than 18 years?

Yes
No

How did you hear about this program?

Have you ever been, or applied to be, a volunteer with a Big Brothers/Sisters agency in the past?

Yes
No

Why do you want to become a volunteer in the program?

Please provide the name and contact information (including email) for a personal reference (must have known the applicant for at least 2 years)

Please provide the name and contact information (including email) for your Youth Experience reference (If no volunteer or paid experience exists in the vulnerable sector within the past five years, an employment reference is required.)

Please provide the name and contact information (including email) for either a significant other OR family reference

FOR ONE-TO-ONE, COUPLE OR GROUP APPLICANTS: Please provide the name and contact information (including email) for one additional personal reference.

Our agency strives to serve children in the ways that they identify as needing -to be served. This includes areas of different ethnicity, sexual orientations and identities. Do you have any experience in any of these areas?

Please provide the best time-frame for completing your in-person interview (please be advised that the meeting will run approx. 1-1.5 hours in length)*

Morning (9am - 11am)
Afternoon ( 1pm - 3:30pm)
After Hours (4pm - 6:30pm)

Please provide date for in-person interview.*

Please provide a second date for in-person interview.(in-case previous date cannot be accommodated)*