Big Brothers Big Sisters of Rhode Island Volunteer Eligibility Form
Thank you for your interest in becoming a mentor with Big Brothers Big Sisters of the Ocean State. There is a child on our waiting list looking for someone just like you to become their mentor! We have questions to make sure that you are eligible for our program!
Date *
Name (First Name, Middle Name, Last Name) *
Your answer
Best Contact Number *
Your answer
Email: *
Your answer
Your Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Birthday *
Your answer
How do you prefer to be contacted? *
Gender *
Are you at least 19 years old? *
Mentoring has the greatest impact on children when the relationships lasts multiple years. We require a minimum commitment of 18 months. Are you able to make that commitment? *
Are you interested in bringing a Little to your home? If so, you are required to complete and in-person home assessment during the enrollment phase. *
Do you live in Rhode Island or a close neighboring Massachusetts town? *
Do you own or have access to a car, insurance and a valid driver’s license? *
Have you ever been charged or convicted of any crime of violence? *
Have you been arrested for driving under the influence (DUI or DWAI) or had a license suspension in the past 3 to 5 years? *
Have you had more than two moving violations this year? *
Are you recovering from alcohol or substance abuse? *
Have you been hospitalized for emotional problems within the past three years? *
Have you been charged or convicted of a felony in the past 10 years? *
Have you been convicted of a misdemeanor in the past 5 years? *
Do you have a health issue that could potentially impact your ability to perform the responsibilities of a mentor? *
Do you speak any foreign languages? *
Do you have guns, ammunition, or other weapons in your house? *
Are there other people living in your household? Provide name, age and relationship to you. *
Your answer
Is there anything else we should know about you?
Your answer
If you were referred to our agency by a current Big, staff member, or board member please tell us who!
Your answer
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