All it takes to be a great Big Brother or Big Sister is knowing how to be a friend. If you're willing to share a little time over the next year to have just one more friend in your life, you can make a huge difference - for yourself as well as a child.

High School Students

Step 1 of 2

Apply Now – You're just 2 steps away from changing a life!

Interests

I am Interested in the following program:

No Preference — You can choose later.
Community-Based Program — what's this?
School-Based Program — what's this?
Site-Based Program — what's this?
Mentoring Children of Prisoners Program — what's this?

Personal Information

• Applicant First Name:	• Last Name: (legal name on driver's license)
• Date of Birth (mm/dd/yyyy):	• Gender: M F
• Home Address:	• City:	• State:	• Zip:
• Email:	Cell Phone:	• Home Phone:
Instant Messenger Service:	IM handle:

Employment Information

Current Employer Name:	Position:	Start Date (## / ## / ####):
Work Address:	City:	State:	Zip:
Work Phone:	Work Email:

Preferred Method of Contact (Check all that Apply)

Home Phone Cell Phone Work Phone Home Email Work Email Text IM

Other Information

Ethnicity/Race:
Relationship Status:	If you have any children, how many?:
Emergency Contact:	Emergency Contact's Phone:
Highest level of Education completed:	How did you hear about Big Brothers Big Sisters?:
Have you ever applied before to be a “Big”?: Yes No	Where and When?:
What, if any, other youth organizations have you worked for or been involved with as a volunteer?
Have you ever been involved before with BBBS in a capacity other then a Big?: Yes No	Where and When?:
Have you ever been convicted of, accused of, arrested for, or charged with a felony?: Yes No
Have you been convicted of a DUI in the past 5 years?: Yes No

References

#1 — Employer/School

Employer/School:	Supervisor/Teacher:
Address:	City:	State:	Zip:
Email:	Home Phone:	Work Phone:

#2 — Name of Friend or co-worker (2+ years)

Name:	Relationship:
Address:	City:	State:	Zip:
Email:	Home Phone:	Work Phone:

#3 — Name of Family Member/Friend (3+ years)

Name:	Relationship:
Address:	City:	State:	Zip:
Email:	Home Phone:	Work Phone:

#4 — Name of Family Member/Friend (3+ years)

Name:	Relationship:
Address:	City:	State:	Zip:
Email:	Home Phone:	Work Phone: