Big Brothers Big Sisters of Hamilton & Burlington

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>	Mentoring Programs

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We have a wide variety of mentoring programs. Find out which is best for you!

How to Help

Online Volunteer Application Form

We require an employer, family and character references. Please have contact information (phone, email) for each ready to complete.

Contact Information:

Please check all that apply:

Gender:
First Name:
Last Name:
Street:
City:		Postal Code:
Home Phone:		Cell Phone:
Work Phone:
Birth Date (mm/dd/year):		Age:
Email:
Languages:
If you have been living in your current address for less than 1 year, please provide the city/town where you lived previously:


Family/Permanent address (if different than above):
Street:
City:		Postal Code:

Employment/Education:

Employment status:
Education:

If Student, where and what course of study:

Year of Study:
Current Employer:
Occupation:		Title:
Business Address:
Email:
Phone:		Length of Time:
Reached at work:

How did you hear about this program:
Select here:

Employment/Teacher or Volunteer Reference:
Name:
Company:		Position:
Business Address:
City:		Postal Code:
Work Phone:		Home Phone:
Email:

Family Reference:
Name:
Relationship:
Address:
City:		Postal Code:
Work Phone:		Home Phone:
Email:

Personal/Character Reference: REFERENCE MUST HAVE KNOWN YOU ARE A MIN. OF 3 YEARS
Name:
Relationship:
Address:
City:		Postal Code:
Work Phone:		Home Phone:
Email:

Personal/Character Reference: REFERENCE MUST HAVE KNOWN YOU ARE A MIN. OF 3 YEARS
Name:
Relationship:
Address:
City:		Postal Code:
Work Phone:		Home Phone:
Email:

Health
Name any medical conditions of which we should be aware of:

Current Family/Marital Status/Personal:
Select here:
Name of Parnter:
# of Children:
Name and Ages:
Name and Ages:
Name and Ages:
Name and Ages:

Car:
Do you have a driver's license:
Do you have a car:
Do you have use of a car:
Does your vehicle have passenger air-bags:
Do you have $1 million auto insurance coverage:
Have you been charged with any traffic violations:
Have you ever been or applied to be a volunteer with our agency in the past:
If so, where and when:

Have you ever been accused, arrested, charged, convicted or pardoned for a crime:
If so, please specify:

Have you completed the online Orientation? If NO Click here
Can we sign you up for Alumni? Click here for more info.
Terms & Conditions
I acknowledge and accept that this application does not guarantee acceptance into the program, and that Big Brothers Big Sisters of Hamilton & Burlington is under no obligation to accept or assign me as a volunteer in their program, and is not obliged to provide a reason. If I am matched, I understand and will abide by the job description and code of conduct related to my volunteer position. I agree to abide by the confidentiality guidelines of the Agency. I hereby authorize Big Brothers Big Sisters of Hamilton & Burlington to contact any or all of the references listed herein for the purposes of processing my application to become a volunteer in the Agency's program. I understand that these references will be contacted in confidence. I hereby waive the right to request disclosure of the personal reference given about me. I give permission for Big Brothers Big Sisters of Hamilton & Burlington to release pertinent information regarding my file to the parent of the Child in the process of match selection. Further, I agree to allow my file to be viewed by Agency Reviewers for Big Brothers Big Sisters of Canada, at the time of the agency review, should it be requested. I further grant Big Brothers Big Sisters of Hamilton & Burlington permission to release my name, date of birth, agency applied to and notice of acceptance, rejection or withdrawal to Big Brothers Big Sisters of Canada and for pertinent facts related to my status to be shared within the movement. I understand this application and subsequent information in my file is the property of Big Brothers Big Sisters of Hamilton & Burlington. I understand that if Big Brothers Big Sisters of Hamilton & Burlington should cease operation, my complete file becomes the property of Big Brothers Big Sisters of Canada. I understand that the information in my file will be retained by Big Brothers Big Sisters of Canada for a period ending 100 years after the close of my final match. I hereby release and forever discharge Big Brothers Big Sisters of Hamilton & Burlington and their employees, directors and volunteers from any cause of action or claim for damages, whether bodily injury, death, property damage, or emotional trauma, anxiety or distress arising from my association with Big Brothers Big Sisters of Hamilton & Burlington. The implications of the waiver have been explained to me. I understand and consent to them. I further agree that this waiver is made of my own free will and without duress. I fully understand that the Agency, following review of my application, reserves the right to accept or refuse my application. I acknowledge and accept that this application does not guarantee acceptance into the program, and that Big Brothers Big Sisters of Hamilton & Burlington is under no obligation to accept or assign me as a volunteer in their program, and is not obliged to provide a reason.
I have read and agree to the terms & conditions.