Bothers Big Sisters is an organization that enrols volunteer mentors to provide a healthy role model to children and youth in our community.  Volunteer mentors must provide a stable, positive influence over the period of their commitment, which is usually a school or calendar year.  Many of the resilient children and youth in our programs have experienced challenges in their lives; relying on the consistent presence of a mentor makes a difference in their lives, likewise ending this important relationship sooner than expected can have a detrimental effect on the young person.  Help us Start Something for our community’s youth by providing a reference that, to the best of your knowledge, is an honest reflection of the applicant and their ability to be a positive influence in the life of a child. 
 
Your responses will remain confidential.  Thank you.


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Your Full Name*
 
 
 
 
Your Email Address*
 
 
 
 
Name of Applicant (Person you are providing a reference for)*
 
 
 
 
How long have you known the applicant and in what capacity? *
 
 
Did you know the applicant was applying to be a mentor? If so, what was your reaction?
 
 
What personal strengths do you feel the applicant has to offer?
 
 
To your knowledge, has the applicant ever had any trouble following rules?
 
 
Can you tell me about the applicant’s community involvement and personal interests?
 
 
Can the applicant be counted on to follow through on the commitments they undertake?
 
 
When have you witnessed the applicant interacting with children?
 
 
How does the applicant interact with or relate to children?
 
 
Have you ever known the applicant to be inappropriate with either adults or children?
 
 
Would anything need to change in the applicant’s home to be suitable for a child?
 
 
What is it like to have applicant as a friend?
 
 
Who would they be most likely to turn, or be most responsive to, for support or guidance?
 
 
Is there anything that you are aware of that may interfere with the applicant’s ability to mentor?
 
 
Have they experienced an addiction/health/emotional concern that may impact their ability to participate in our program?
 
 
Would you allow the applicant to develop a one-to-one relationship with a child you care about?
 
 
Would you recommend the applicant as a mentor for a young person
 
 
Is there anything else you would like us to consider?
 
 
Would you like to receive information about Big Brothers Big Sisters?
 
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