Volunteer Application form 2023 - DRAFT - Big Brothers of Greater Vancouver

Thank you for your interest in applying to volunteer for Big Brothers of Greater Vancouver. We're so excited to learn more about you!

There are so many children who are waiting for a mentor like you - and we can't thank you enough for taking the time to fill out this application form, so that we can find the best match for you.

If you have any questions, give us a shout!

Kharen Luchtenberg
kharen.luchtenberg@bigbrothersbigsisters.ca
604.876.2447 ext. 236

We kindly ask that you do not enter "n/a" anywhere on your application as this can delay the processing of your application.

Step 1 of 5

Name*
First Last
Which gender identity best describes you?*
We ask for this information to help determine the most suitable mentoring program for you, as we have a range of options. We welcome volunteers, children, and families of all sexual orientations, gender identities and expressions, including transgender and gender-fluid individuals. Between our different mentoring programs and those of our sister organization, Big Sisters of BC Lower Mainland, we are committed to finding the right fit for you. Read more about our commitment to diversity and inclusion.

Man

Woman

Transgender Man

Transgender Woman

Agender

Non-binary

Gender fluid

Two spirit

Prefer not to say

Additional gender category/identity not listed (please specify below)
Please share your gender identity in your own words. (Optional)

Pronouns (Optional)

Language(s) Spoken*

E-mail*
Enter Email Confirm Email

Phone (Home)*
Phone (Cell - Calls/Texts)
Phone (Work)

Date of Birth:
MM slash DD slash YYYY

Current Address*
Suite, Street Address City ZIP / Postal Code

Mailing Address if different from the current address
Suite, Street Address City ZIP / Postal Code

Have you lived at your current address for more than six months?*

Yes

No
Have you lived in Greater Vancouver for at least 6 months?*

Yes

No
Applicants must have resided in Greater Vancouver for a minimum of 6 months at the time of application. Please continue to fill out this form and we will process it once you've reached six months of residency.
Please indicate when you moved to Greater Vancouver (Month/Year)*

Have you lived outside of Canada in the past two years?*

Yes

No
If yes, where?*

When? Duration?*

Have you ever had ANY involvement (even if not charged or convicted) with the police that would be reflected on a Police Information Check (e.g. police report, charged, suspected, convicted, pardoned, etc.)?*

Yes

No
Please be prepared to talk about this at your interview.
Please provide legal name at birth if different from current name, including any other aliases.

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Please indicate your availability
Mentors in the Big Brother Community Program volunteer once a week (2 to 4 hours). Please indicate your availability (including weekends).*
Select All
Monday Morning
Tuesday Morning
Wednesday Morning
Thursday Morning
Friday Morning
Saturday Morning
Sunday Morning
Monday Afternoon
Tuesday Afternoon
Wednesday Afternoon
Thursday Afternoon
Friday Afternoon
Saturday Afternoon
Sunday Afternoon
Monday Evening
Tuesday Evening
Wednesday Evening
Thursday Evening
Friday Evening
Saturday Evening
Sunday Evening
Mentors in the In-School Mentoring Program volunteer once a week for 1 hour during school hours. Please indicate your weekly availability:*
Select All
Monday Morning
Tuesday Morning
Wednesday Morning
Thursday Morning
Friday Morning
Monday Afternoon
Tuesday Afternoon
Wednesday Afternoon
Thursday Afternoon
Friday Afternoon
Volunteering as a mentor in the Game On / Mentoring with Math program means that you will volunteer 1.5 hours each week after school. Please indicate your weekly availability.*
Select All
Monday Afternoon
Tuesday Afternoon
Wednesday Afternoon
Thursday Afternoon
Friday Afternoon
Do you anticipate any changes in the following areas in the next two years?*
Work / Education
Family changes (e.g. new additions)
Citizenship or Work/Study permit changes
Extensive travel (over two weeks)
Residence
Other
I do not anticipate any changes.
Please describe your anticipated changes indicated above?*
Present Employer*

Your Position

How long have you worked there?

Are you a student?*

Yes

No
Which school do you attend?*

Please list your previous 3 years of employment and/or school involvement. Provide name of company or institution, length of employment, reason for leaving.*
Please explain in a few sentences why you want to volunteer as a mentor to a child/youth.*
Please list any experience you have working with or being around children/youth/vulnerable people.*
Vulnerable person means a person who, because of their age, a disability or other circumstances, whether temporary or permanent, is in a position of dependency on others or is otherwise at a greater risk than the general population of being harmed by a person in a position of trust or authority towards them.
What qualities do you feel you have to offer as a mentor to a child or youth?*
Please list your interests & activities (e.g. clubs, sports, hobbies, special interests)*

How did you hear about Big Brothers of Greater Vancouver? You can give more than one answer (e.g. transit ad, radio, workplace presentation, school fair or social media).*
If you heard about Big Brothers through word-of-mouth, who told you about us (so we can thank them)?

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Required References
Please provide FULL contact information for each reference and we will contact them as needed. Please encourage them to respond in a timely manner as this can speed up your application process. If any of your references require accommodations in completing the form (e.g. language, internet access), please contact us for assistance. References must have known you for at least 2 full years (unless otherwise indicated) and must be at least 19 years old.
Significant Other / Family Reference
This should be your current partner (married, common-law, dating for any duration). If you do not have a significant other, please provide contact information of an adult family member.
Do you have a significant other? e.g. current partner (married, common-law, dating for any duration).*

Yes

No
Full Name of Significant Other*

Relationship to You*

Length of Relationship (in Years and Months)*

Significant Other Email Address*

Significant Other Phone (Home/Cell)*
Full Name of Family Member*

Relationship to You*

Length of Relationship (in Years and Months)*

Family Member Email Address*

Family Member Phone (Home/Cell)*
Experience with Vulnerable People
This describes any experience (paid/volunteer).
Vulnerable person means a person who, because of their age, a disability or other circumstances, whether temporary or permanent, is in a position of dependency on others or is otherwise at a greater risk than the general population of being harmed by a person in a position of trust or authority towards them.

Please provide a reference even if you have known them for less than 2 years.
Have you worked or volunteered with vulnerable people (e.g. children/youth/seniors/people living with disabilities) in the last 5 years?*

Yes

No
Company or Organization Name*

Full Name of Supervisor*

Length of Employment/Volunteer Experience*

Supervisor's Email Address*

Phone*

Employment/Education Reference
Please provide a current or past employment reference who is/was your supervisor and has known you for 2 or more years (cannot be a family member). If you do not have an employment reference, please provide an educational reference (professor) or supervisor reference from a volunteer position. If you are self-employed, please provide a business partner or co-worker (not a direct report or employee) who has known you for 2 or more years.
Full Name of Supervisor*

Length of Relationship (in years and months)*

Company/School Name*

Length of Employment/Education (in years and months)*

Phone*

E-mail Address*

Personal Reference
This refers to an adult (NOT a family member or Significant Other) who knows you well and on a personal level for two or more years. They could be a work colleague or a close friend.
Full Name*

Relationship to You*

Length of Relationship*

Phone*
Email Address*

Personal Reference 2
This refers to an adult (NOT a family member) who knows you well and on a personal level for two or more years. They could be a work colleague or a close friend.
Personal Reference's Full Name*

Relationship to You*

Length of Relationship*

Phone (Home/Cell)*
Email Address*

Emergency Contact Information
Full Name of Emergency Contact*

Relationship to You*

Phone*
Involvement with Other Agencies
Have you previously APPLIED TO BE or BEEN a volunteer mentor with a Big Brothers Big Sisters organization? (e.g. in a different city)*

Yes

No
If yes, where? (Agency Name/City)*

When?*

Contact Person (Full Name)*

Have you ever participated in/volunteered for a Big Brothers of Greater Vancouver event? (Example: Bowl for Big Brothers, golf fundraiser). If yes, please describe.

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Volunteer Application Agreement and Release
TO: [BIG BROTHERS OF GREATER VANCOUVER] (THE “AGENCY”)

The Agency and Big Brothers Big Sisters Canada (“BBBSC”) are separate entities and this Agreement is between me and the Agency.

1. By applying to volunteer with the Agency (“Volunteer Application”) and signing this Agreement, I acknowledge, understand and accept that:
(a) I am a legal resident of Canada and have reached the age of majority in the province or territory in which I reside. I acknowledge and agree that if I have not reached the age of majority of the province or territory in which I reside, my parent or legal guardian will also need to sign this Agreement in order for my Volunteer Application to be considered;
(b) There is no obligation on the Agency to accept my Volunteer Application or assign me as a volunteer into a mentoring program (a “Mentoring Program”) and the Agency may terminate my involvement in a Mentoring Program in its sole discretion and without reason;
(c) If I am accepted as a volunteer, my involvement in a Mentoring Program is not intended to create and shall not be construed as creating either an employee–employer relationship or a contract for services that would allow me to receive a salary, compensation, payment or any benefits, monetary or otherwise; and
(d) If I am accepted into a Mentoring Program, I understand that I will be required to enter into a confidentiality agreement with the Agency, and I agree to abide by the volunteer position description(s) and code(s) of conduct established by the Agency, including any applicable guidelines, Standards and policies.

2. Assumption of Risk, Release and Reimbursement:
I acknowledge, understand and accept that:
(a) I am responsible for all risks associated with my involvement in a Mentoring Program including, without limitation, the risk of bodily or psychological harm or injury.
(b) Subject to local laws, I agree not to sue the Agency, BBBSC and/or any of their member agencies in respect of any such injury or claim resulting from my participation in a Mentoring Program, my Volunteer Application, the acceptance or denial of my Volunteer Application, the Alumni Program and/or my association with the Agency or BBBSC.
(c) I understand that I am fully responsible for any damage to my personal vehicle and/or property during my volunteer involvement in a Mentoring Program and that neither BBBSC nor the Agency insures personal vehicles or property belonging to its volunteers;
(d) I agree to reimburse the Agency and/or BBBSC and/or any of their member agencies for any damages or losses of any kind (including but not limited to the injury of any other person and/or damage to or loss of property) that may arise in connection with my gross negligence, wilful misconduct, or failure to act in accordance with published BBSC policies and guidelines and relating to or arising in connection with my participation in a Mentoring Program or my association with the Agency or BBBSC, including payment of any and all legal expenses of the Agency, BBBSC and/or any of their member agencies.

3. Background Check. I understand that my acceptance into the Mentoring Program will be conditional on my successful completion of a background check, which may include contacting the references included in my Volunteer Application and/or a criminal record check, for the purposes of confirming my suitability for the Mentoring Program. I agree to provide all necessary consents for such background checks.

4. Privacy Notice. The personal information provided by me or otherwise collected by the Agency in connection with my application will be used by the Agency for the purpose of evaluating and considering my Volunteer Application and, if accepted into a Mentoring Program, for the purpose of administering the Mentoring Program. This information may include my name, phone number, mailing address, date of birth, results of background check, and driver’s license and auto insurance information. My personal information will be maintained by the Agency on a confidential basis and will only be disclosed to the parent(s) and/or guardian(s) of a child with whom the Agency may consider “matching” me in a Mentoring Program, to representatives of a school or institution in connection with my participation in a site-based Mentoring Program, to the BBBSC as required for the purposes of accreditation reviews or legal proceedings and as otherwise required or permitted by law. In the event the Agency ceases operations, any and all information about me held by the Agency will be provided to BBBSC, another BBBSC agency selected by BBBSC, or both and will be used for the purposes set out above.

In the event where it is deemed necessary, any and all information about me held by the agency will be provided to BBBSC, another BBBSC agency selected by BBBSC, or both and will be used for the purposes set out above. No information will be provided to persons or organizations outside of Big Brothers Big Sisters of Canada, and its agencies, about parents, children or volunteers without their express prior written consent except where required by law.

5. Other Terms of this Agreement.
(a) In entering into this Agreement, I am not relying on any oral or written representations other than as set forth in this Agreement.
(b) This Agreement shall be governed by and construed pursuant to the laws of the Province or Territory in which the Agency is located.
(c) In the event that any provision or term of this Agreement is held to be invalid, illegal or unenforceable, the remaining provisions of this Agreement shall remain in full force and effect.

6. Media Consent. Any photographs or video productions taken of volunteers by agency staff at recreational events or match outings, or otherwise authorized by the Executive Director or Board of Directors, may be used by the agency for purposes of promotional material including brochures posters, newsletters, media information, advertisements, audio-visual productions and web pages, such as the Agency website and social media. Photographs or video productions may also be shared with community and school partners and Big Brothers Big Sisters of Canada for program promotion.
I acknowledge that I have read the terms of this Agreement, have been given an opportunity to obtain independent legal advice, and understand that it represents a waiver of certain legal rights, including the right to sue. I further agree that such limits are reasonable and sign this Agreement freely, voluntarily and without duress.*

Yes, I have read, understand, and accept the above Agreement.

No, I do NOT accept the above Agreement.
If you do NOT agree to the Volunteer Application Agreement and Release above, please continue to submit your application and we will discuss this further with you.
If you do not agree with item #6 Media Consent, please check here:
I do NOT agree to media consent.
Please note: Only applicants who meet Big Brothers of Greater Vancouver's volunteer requirements will be asked to move forward to the interview stage.

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Volunteer Application form 2023 – DRAFT

Volunteer Application form 2023 – DRAFT

Step 1 of 5

Applicants must have resided in Greater Vancouver for a minimum of 6 months at the time of application. Please continue to fill out this form and we will process it once you've reached six months of residency.

Please be prepared to talk about this at your interview.

Please indicate your availability

Required References

Significant Other / Family Reference

This should be your current partner (married, common-law, dating for any duration). If you do not have a significant other, please provide contact information of an adult family member.

Experience with Vulnerable People

Employment/Education Reference

Personal Reference

Personal Reference 2

Emergency Contact Information

Involvement with Other Agencies

Volunteer Application Agreement and Release

Get regular updates from Big Brothers

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CONNECT WITH US

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Volunteer Application form 2023 – DRAFT

Step 1 of 5

The Big Brother Community Program requires a commitment of 2-4 hours once per week for one year. This program is for male-identifying individuals.

The In-School Mentoring Program requires a commitment of one hour a week during the school hours for the duration of a school year and the program is for all genders.

The Mentoring with Math Program requires a commitment of 1 hour a week (virtual program) or 1.5 hour (in-person program) for 8-10 weeks and the program is for all genders. The program runs in the afternoon of after school hours during weekdays

The Game On! Program is a group program and requires a commitment of 1.5 hours a week for 8 weeks. This program is designed for male-identifying individuals and runs in the afternoon of after school hours during weekdays

Applicants must have resided in Greater Vancouver for a minimum of 6 months at the time of application. Please continue to fill out this form and we will process it once you've reached six months of residency.

Please be prepared to talk about this at your interview.

Please indicate your availability

Required References

Significant Other / Family Reference

This should be your current partner (married, common-law, dating for any duration). If you do not have a significant other, please provide contact information of an adult family member.

Experience with Vulnerable People

Employment/Education Reference

Personal Reference

Personal Reference 2

Emergency Contact Information

Involvement with Other Agencies

Volunteer Application Agreement and Release

Get regular updates from Big Brothers

GET TO KNOW US

CONNECT WITH US

Get involved

QUICK LINKS