Mentor Application Big Brothers Big Sisters of Sarnia-Lambton MENTOR Application Please consider this my formal application to volunteer with Big Brothers Big Sisters of Sarnia-Lambton. Full Name:(Required) Address:(Required) Postal Code:(Required) Phone Number:(Required) Length of time at this address:(Required) How long have you lived in the Sarnia-Lambton area?(Required) Date of birth (day/month/year)(Required) Email address:(Required) Volunteers must be 18+ to volunteer with Big Brothers Big Sisters of Sarnia-Lambton. Do you meet this criteria?(Required) YES NO Have you ever been, or appied to be a volunteer with a Big Brother Big Sister agency in the past, including Sarnia-Lambton?(Required) YES NO If yes, what agency and when? Why do you want to become a volunteer with Big Brothers Big Sisters of Sarnia-Lambton now?(Required)ReferencesPlease note, you must have known each of your references for a minimum of 2 years. *Please provide a reference(s) if you have worked with or volunteered with a person or organization responsible for the well-being of children under the age of 18 or with a vulnerable person who, because of their age, a disability, or other circumstance are at greater risk than the general population of being harmed by a person in a position of authority or trust relative to them. Reference #1 Personal Reference FULL NAME(Required) A personal reference can be a friend or family member (must have known reference a minimum of 2 years)Email address:(Required) Address:(Required) Please include full address if known (house number, street, city & postal code)Phone number:(Required) How long have you known the person named above? In what capacity?(Required) Reference #2 Vulnerable Sector Reference FULL NAME(Required) If no volunteer or paid experience exists in the vulnerable sector within the last 5 years, an employment reference is required.Email Address:(Required) Address:(Required) Please include full address if known (house number, street, city & postal code) Phone number:(Required) How long have you known the person named above? In what capacity?(Required) Reference #3 Significant Other Reference FULL NAME(Required) If no significant other exists, a family reference is required.Email address:(Required) Phone number:(Required) Address: Please include full address if known (house number, street, city & postal code)How long have you known the person named above? In what capacity?(Required) This information listed above is true to the best of my knowledge.(Required) YES Applicant full name:(Required) Please print your first & last name.Date:(Required) Please enter the date (day,month,year) this form, was completed. Facebook Twitter Google+ LinkedIn
