Big Brothers Big Sisters of Butler County Volunteer Application
This application takes approximately 10 minutes to complete. Please prepare 4 references including a spouse/partner or family member, co-worker or employer, friend or neighbor, and someone who has observed you in a setting working with youth if that applies.

CAUTION** clicking the back button on your browser will erase your completed pages. If you made a mistake note that on the comments page at the end. Thank for taking the first step to becoming a mentor! We are excited to get to know you!

Email address *
Confirm Email Address *
Your answer
Secondary Email Address
Your answer
First Name *
Your answer
Preferred Name
Your answer
Middle Name
Your answer
Last Name *
Your answer
Date of Birth *
Your answer
Last 4 digits of Social Security Number *
(BBBS will need your complete social security number at the in-person interview)
Your answer
Cell-Phone Number *
Your answer
Work Phone Number *
Your answer
Home Phone Number
Your answer
Preferred Phone Number *
BBBS can contact me at work
Home Address Line 1 *
Your answer
Home Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Gender *
Your answer
Race/Ethnicity *
If multi-racial check all that apply.
Required
Marital Status *
If applicable, maiden name:
Your answer
Mark All That Apply *
Required
How I Heard about Big Brothers Big Sisters *
Required
Have you previously applied to be or served as a Big Sister or Big Brother here or anywhere else? *
If yes, when and where?
Your answer
Have you ever been involved with Big Brothers Big Sisters in a capacity other than a Big? *
If yes, when and where?
Your answer
Have you ever been denied acceptance or released from service as a volunteer or employee for another Big Brothers Big Sisters program or youth-serving organization? *
If yes, when and where?
Your answer
Are you interested in learning about additional ways to contribute to the Big Brothers Big Sisters mission?
Employer
Your answer
Employer's Address
Your answer
Are you able to make a year long commitment
Do You Travel for Work?
Highest Level of Education
Do you have a driver's license? *
I authorize Big Brothers Big Sisters to conduct background checks *
Required
I give permission for BBBS to send me emails through Constant Contact *
You can opt out of these emails at anytime.
Required
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