Big Brothers Big Sisters l Be a Big

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

• Applicant First Name	• Last Name (legal name on drivers license)
• Maiden/Former Last Name
• Date of Birth (## / ## / ####):	• Gender: M F
• Home Address :	• City:	State:	• Zip:
County:
• Email:	Cell Phone: () -	• Home Phone: () -

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

Ethnicity/Race:
Relationship Status:	Spouses Name
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 arrested? A yes response is not an automatic disqualification: Yes No
Have you been convicted of a DUI in the past 5 years?: Yes No
Have you been in the Military? - Please be able to provide DD214 Yes No

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

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