Volunteer Application

 Big Sister Application PAL Application

Note: ALL Fields Required* ('NA' for Blanks)

Full Legal Name:*

Date of Birth:*

Driver's License Number:*

Home Address:

Street:*

City:*

Zip:*

Preferred Phone Number (one required): :

Home:

Mobile:

Work:

Use Facebook?

   

E-mail:

Marital Status:

If married, Spouse's Name:

Number of Children:

Your Children's Sex & Age:

Your best contact days

Your best contact times

Car Available?

   

Insurance Carrier:

Bilingual?

   

Language Spoken:

Your Employment Information

Employer Name:*

Current Position:*

Work Hours:

Contact you at work?

   

Street:*

City:*

Zip:*

Previous Employer:*

Position / Title:*

Start date:*

End date:*

Previous Employer:*

Position / Title:*

Start date:*

End date:*

Previous Employer:*

Position / Title:*

Start date:*

End date:*

Your Education History

Highest grade completed:*

Degree / Other specialized training:

Other Volunteer Experience

Previous experience with Children?

   

Please describe (Babysitting, Church, Girl Scouts, etc.) length of time worked and age group:

Do you have any physical or mental conditions that would require special accommodations for your volunteer service? If yes, please describe:

   

Match Information

Times when you are most available for mentoring activities:

Are you away during parts of the year? Please describe:

Please list your special interests to share with a young girl:

Have pets?

   

If yes, what type?

OK with children?

   

Please explain why you would like to be matched with a Little Sister:

Preferred age level (Low to High):

Any other preferences:

Can commit to one year with program?

   

Available 2x month for Little Sister?

   

How were you referred to Big Sisters of Greater Racine, Inc?

Please describe a brief history of yourself. Include information about any meaningful events in your life as you were growing up:

Reference's Full Name:*

Relationship:

Phone:

Street:*

City:*

Zip:*

Reference's Full Name:*

Relationship:

Phone:

Street:*

City:*

Zip:*

Reference's Full Name:*

Relationship:

Phone:

Street:*

City:*

Zip:*