Volunteer Enrollment Form - Big Brothers Big Sisters of Western North Carolina

Thank you for your interest in volunteering as a Big Brother or Big Sister! You can download a PDF of our volunteer application and submit by fax, mail or in person OR fill out our secure, https protocol-protected online enrollment form below.

Download Volunteer Enrollment Form

Submit your enrollment form online:

Full Name (no initials)*
First Middle Last
Date of Birth*
Gender*
- Female
- Male
Home Address*
Street Address Address Line 2 City State ZIP Code
Local Mailing Address (if different)
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Home Phone
Email*
Employer
Supervisor
Employer Address
Street Address Address Line 2 City State ZIP Code
Race / Ethnicity*
Involvement with a Big Brothers Big Sisters Organization?
- Yes
- No
Where?
Program Specifics
PROGRAM CHOICE*
Please check the program for which you would like to apply. All of the following programs have an enrollment and matching process to ensure that the volunteer is matched with the right child for them.
- Community-Based Program (Buncombe, Burke, Cashiers, Cherokee, Haywood, Henderson, Highlands, Polk, Swain) Youth ages 6-14 are matched with volunteers ages 18+ for one-on-one activities twice a month for a minimum of one year. Matches are encouraged to participate in simple, fun activities designed to build a friendship
- After-School Mentoring Program (Buncombe, Cashiers, Haywood, Highlands) Volunteers ages 16+ are paired with youth for fun activities one hour each week after school at the school or center. Time commitment: minimum of one calendar year.
- School-Based Program (Buncombe, Burke, Cashiers, Cherokee, Haywood, Henderson, Polk, Swain) Volunteers ages 16+ meet with an elementary age child one hour a week during the school day. Matches engage in a variety of relationship-building and academic activities, such as crafts, reading and board games. Time commitment: minimum of one calendar year.
Preference of Elementary School
Reference Section
All information will be treated confidentially and will not be shared.

*For the School-Based or After-School Mentoring Programs: Please list 2 persons who have known you for at least a year, specifically:

1) Spouse/significant other (if not applicable, then a family member)

2) Work, School or Personal Reference

*For the Community-Based Program: List 4 persons who have known you for at least a year, specifically:

1 ) Your current/ past employer or co-worker

2 )A friend who has known you for at least 2 years

3) Your spouse/ significant other (if not applicable then a family member who is familiar with your home environment)

4) Someone who has observed you interacting with children (someone other than your parent)

Note name, city, phone number, email address, and relationship to you.

Example:
John Doe Asheville 828-771-9088 johndoe@gmail.com Employer
References*
Legal Record
Please list any arrests, convictions, and traffic violations. Please provide charge as well as disposition/result.
Citation/Arrest/Violation Date*
Have you been or are you on a Sex Offender Registry in any state?*
- Yes
- No
Social Security Number (https protocol-protected)*
Drivers License Number (https protocol-protected)*
Issuing State of Drivers License*
Drivers License Expiration Date*
Address listed on Driver's License (Please send copy of Driver's License to Phoebe Reed phoeber@bbbswnc.org OR fax enlarged copy to 828-253-5403)*
Please list your residences for the previous 3 years for background check purposes*
Please include street address, city, state, zip code, and county. Example: 3 Keller Ct. Atlanta, GA 28803 Dekalb Co.

Submit your enrollment form online:

Program Specifics

Reference Section

Legal Record

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