Volunteer Enrollment


I, , certify that all information entered on the volunteer enrollment form I just completed is true and accurate.

Authority for Release of Information

During the application process and at any time during my service with Big Brothers Big Sisters of WNC, I hereby authorize First Advantage on behalf of Big Brothers Big Sisters of WNC to procure a consumer report which I understand may include information regarding criminal history, social security verification, motor vehicle records, or other background checks. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by the Company at any time after receipt of this authorization and throughout my volunteer service, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by LexisNexis Screening Solutions Inc.,"First Advantage", another outside organization acting on behalf of the Company, and/or the Company itself. I agree that a facsimile (“fax”), electronic or photographic copy of this Authorization shall be as valid as the original. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification, to the extent such investigation includes information bearing on my character, general reputation, or personal characteristics.

Reference Release

I understand it will be necessary for Big Brothers Big Sisters of Western North Carolina, Inc., to check my character references and any references deemed necessary during the application process. I hereby give my consent for this information exchange and authorize such individuals to release information requested by Big Brothers Big Sisters of Western North Carolina, Inc. I understand that the individuals to be contacted will be employers, social services, and other individuals deemed necessary by Big Brothers Big Sisters of Western North Carolina, Inc. Other BBBS agencies or youth organizations where I have worked or volunteered may be contacted as references. I affirm that this information is accurate and truthful.

Confidentiality Policy

Big Brothers Big Sisters of WNC respects the confidentiality of client and volunteer records and, with the exception of situations listed below, shares information about clients and volunteers only among the agency professional staff. All records are considered the property of the agency and not the property of the agency staff, clients, or volunteers. Records are not available for review by the clients or volunteers.

  • Information will be released to non-BBBS organizations or other individuals only with the client’s or volunteer's written consent.
  • Identifying information regarding clients and volunteers may be used in agency publications or promotional materials unless the clients or volunteer request otherwise.
  • For purposes of program evaluation, audit, or accreditation, and with the prior approval of the Board of Directors, certain outside bodies such as Big Brothers Big Sisters of America may have access to client and volunteer records.
  • Members of the Board of Directors or evaluators appointed by the Board have access to client files upon authorization of the Board of Directors.
  • Information shall only be provided to law enforcement officials or the courts pursuant to a valid and enforceable subpoena.
  • Information shall be provided to an agency's legal counsel in the event of litigation or potential litigation involving the agency.
  • State law mandates that suspected child abuse or neglect be reported to the Department of Social Services.
  • If an agency worker receives information indicating that a client or volunteer may be dangerous to himself or herself or to others, necessary steps may be taken to protect the appropriate party. This may include a medical referral or report to the local law enforcement authorities.
  • At the time a child or volunteer is considered as a match candidate, information is shared between the prospective match parties. Information about the volunteer that is shared with the parent/guardian may include such items as: age, sex, race, religion, interests, hobbies, marriage, family status, sexual orientation, living situation, etc. Information about the child that is shared with the volunteer may include such items as age, sex, race, religion, interests, hobbies, family situation, etc.

I agree to program participation under the above conditions.

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Signature Certificate
Document name: Volunteer Enrollment
lock iconUnique Document ID: d66f145344c15c1d6251eb1edca133cd73beb658
Timestamp Audit
September 1, 2017 9:21 am ESTVolunteer Enrollment Uploaded by Jamye Davis - jamyed@bbbswnc.org IP 173.22.29.203
April 28, 2022 11:31 am ESTAmanda Wrublewski - amandaw@bbbswnc.org added by Jamye Davis - jamyed@bbbswnc.org as a CC'd Recipient Ip: 108.202.57.212
May 4, 2022 1:14 pm ESTAmanda Wrublewski - amandaw@bbbswnc.org added by Jamye Davis - jamyed@bbbswnc.org as a CC'd Recipient Ip: 108.202.57.212
May 6, 2022 12:15 pm ESTAmanda Wrublewski - amandaw@bbbswnc.org added by Jamye Davis - jamyed@bbbswnc.org as a CC'd Recipient Ip: 108.202.57.212
May 13, 2022 4:24 pm ESTAmanda Wrublewski - amandaw@bbbswnc.org added by Jamye Davis - jamyed@bbbswnc.org as a CC'd Recipient Ip: 173.22.29.203