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!
Sign in to Google to save your progress. Learn more
Email *
Confirm Email Address *
Secondary Email Address
First Name *
Preferred Name
Middle Name
Last Name *
Date of Birth *
 Social Security Number *
Cell-Phone Number *
Work Phone Number *
Home Phone Number
Preferred Phone Number *
Home Address Line 1 *
(Parents/Permananent Residence)
Home Address Line 2
City *
State *
Zip Code *
Current Residence Address Line 1
(If you live on or near campus during the school year, tell us your current address)
Current Residence Address Line 2
City
State
Zip
Gender *
Personal Pronouns *
Required
Race/Ethnicity *
If multi-racial check all that apply.
Required
Marital Status *
Marital Status *
Required
Please provide your maiden name, if applicable.
Please provide any aliases you have used, if applicable
Please provide any addresses at which you have lived for the last seven years with approximate dates, if applicable.
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?
Have you ever been involved with Big Brothers Big Sisters in a capacity other than a Big? *
If yes, when and where?
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?
Are you interested in learning about additional ways to contribute to the Big Brothers Big Sisters mission?
Please rank (first/second/third) the following age groups in the order in which you would prefer your Little to fall under: *
1st
2nd
3rd
6-9 years old
10-12 years old
13+ years old
Do you have a car on campus? (If not BBBS will help arrange transportation)
Clear selection
Which program would you like to be a Big at? (Check all that you are available for)
Please indicate any populations you have previous experience working with. This can include professional and personal experience. *
Required
Please indicate any population you are uncomfortable to work with. This question is not used to determine eligibility for our program. We use this information to help us pick out the best Little Sister or Brother to match you with upon qualification as a volunteer. *
Required
Employer
Employer's Address
Are you able to make a 1 year commitment to a Little?
Clear selection
Year in School
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
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bbbsbutler.org. Report Abuse