Volunteer Volunteer Application Form Name:* First Last Local address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I live at this address:* Year-round Other (describe) Other Preferred telephone number:*This number is a:* Home Cell Work Email Address:* I am 21+ years of age All volunteers must be 21+ years of age to qualifyDOB:* MM slash DD slash YYYY All volunteers must be over the age of 21.Gender Description* Gender DescriptionMaleFemaleTrans MaleTrans FemaleGenderqueer/ Non binaryWrite InPrefer not to sayDifferent IdentityGender Description Write In Pronouns: He, him She, her They, them Write In pronouns Pronouns Write In What is your race/ethnicity? Select all that apply. JBBBS welcomes all demographics. American Indian or Alaska Native Asian- Chinese Asian- Filipino Asian- Indian Asian- Japanese Asian- Korean Asian- Vietnamese Asian- Other Black or African American Hispanic- Cuban Hispanic- Mexican, Mexican American, Chicano Hispanic- Puerto Rican Hispanic- Other Latinx or Spanish origin Middle Eastern or North African Other Pacific Islander- Chamorro Pacific Islander- Native Hawaiian Pacific Islander- Other Pacific Islander- Samoan Prefer not to say White or Caucasian Do you speak any languages other than English? Yes No Which language(s)? Currently a student:* Yes No IF YES – Which school?: IF YES – Field of study (if declared): Currently employed? Yes No IF YES – Employer’s name: IF YES – Role within company: I learned about JBBBS from (check all that apply):* A past or present JBBBS volunteer (indicate name below) A volunteer from another Big Brothers Big Sisters affiliate JBBBS Staff/Board CJP (indicate name below) Big Brothers Big Sisters of America Another service organization (indicate which organization) My college or university (indicate which college/university) My place of worship (indicate which) Company, Business or Employer (indicate which below) Internet search Social Media (indicate which channel) Other (describe) Describe: I would consider volunteer opportunities with (check all that apply):* Children Children with disabilities/special needs College Mentoring Program (High School Juniors/Seniors) Type 1 Diabetes LGBTQ+ Adults with disabilities I have access to a personal vehicle:* Yes No This helps us determine which neighborhoods you can get to.Our volunteer opportunities require a commitment of one year.* I can commit for one year. Do you anticipate any major life changes in the next year that may make a one year commitment challenging? If no, write N/A.* Some examples may include enrolling in school, new job, an addition to the family, or moving to a different state. Not all life changes are disqualifying for volunteering.Please indicate, in a sentence or two, why you’re considering volunteering with us.* Δ
Contact: 781-516-2090 