Interested in Becoming a Big?
Fill out the below application and click submit. FOR PROCESSING PURPOSES, ALL FIELDS MUST HAVE A RESPONSE.

A professional case manager will begin to process your information as soon as it arrives. You will be contacted so further steps can be taken to get you a little brother or sister.

On behalf of the more than 100 children "waiting" - thanks for your interest.

Full Name

Email Address

How did you hear about us?

Street Address, City, State, Zip

Home Phone Number

Work and/or Cell Phone Number

Please Check
Male   Female   

Ethnicity

Marital Status

Highest Level of Education

Employer, Occupation/Job Title

May we contact you at work?

Length with Current Employer and Average Work Hours

The question, Have you ever applied to be a BBBS before. If yes where?

Birthdate (Month/Day/Year)

Employer, Supervisor's Name (who has known you for at least 1 year), Day Phone, Evening Phone & Email (or school if student)

Coworker/Neighbor/Friend's Name (who has known you for at least 2 years), , Day Phone, Evening Phone & Email

Spouse/Partner/Friend's Name (who has known you for at least 3 years), Day Phone, Evening Phone & Email

Spouse/Vol. Organization/Partner/Friend's Name (who has known you for at least 3 years), Day Phone, Evening Phone & Email

 
I understand that checking this box means: This information does not obligate me to volunteer and BBBS is not obligated to match me with a youth.

 
I understand that checking this box means: The information I provided can be used to conduct a thorough background check, to include all records where required by law for volunteers working with youth.

 
I understand that checking this box means: Other BBBS agencies or other organizations where I have worked or volunteered may be contacted as references.

 
I understand that checking this box means: As part of the enrollment process, I will be asked to provide additional personal information prior to making recommendations for assignment.

 
I understand that checking this box means: I will provide true and complete information to BBBS staff throughout my screening process and program participation.