Big Brothers Big Sisters of Peel respects your privacy and adheres to PIPEDA legislation (The Personal Information Protection and Electronic Documents Act –2001 federal legislation) and strict confidentiality procedures.
 
 
 
The information provided will be held in confidence by Big Brothers Big Sisters of Peel and will be used by the Agency for evaluating and considering your Volunteer Application and, if accepted into a Mentoring Program, for the purpose of administering the Mentoring Program.
 
 
 
Please complete AS MUCH information as possbile
 
 
 
- Before you start, please confirm that you have downloaded & read the Information Package: *
 
 
 
 
 
- Please select the program that most interests you:*
 
 
 
 
 
 
- First Name*
 
 
- Last Name:*
 
 
- Do you have another name you prefer to be called:
 
 
 
 
 
- Street Address*
 
 
- City:*
 
 
 
 
 
- Postal Code*
 
 
- Which area of Peel Region is your home located?*
 
 
Please provide us with at least one phone number where we can reach you:
- Home Number:
 
 
- Cell Number:
 
 
 
- Email:*
 
 
 
 
Please complete AS MUCH information as possbile
 
 
 
- Gender*
 
 
- Gender Identity, if not represented:
 
 
- Date of Birth (MM/DD/YYYY):
 
 
- If not comfortable sharing your birthday, please check off the appropriate age range:
 
 
 
 
 
- Are you a licensed driver?*
 
 
- Do you have regular access to a vehicle?*
 
 
- As a driver, do you have a current insurance policy?*
 
 
If the program you are applying for requires you to drive our children we recommend $1 Million Dollar Auto Insurance
 
 
 
- How did you hear about us?
 
 
- Did you hear about us from any of these sources?
 
 
 
 
Please complete AS MUCH information as possbile
 
 
 
- Any anticipated changes in your life this next year? (moving, job change, family, relationships)*
 
 
 
 
 
Family Information:
 
 
 
 
- What is your current relationship status?*
 
 
- Partner's first and last name (if applicable)
 
 
 
 
 
- Do you have children?*
 
 
- What is the age(s) of your child(ren)?
 
 
 
 
Employment Information:
 
 
 
 
Please complete AS MUCH information as possbile
 
 
 
- What is your current employment status?*
 
 
- Who is your current employer?
 
 
 
 
 
Education History:
 
 
 
 
- Name of post secondary institution you last attended?
 
 
- When did you graduate from this post secondary program?
 
 
 
 
- What was/is your primary area of study in post secondary?
 
 
- Name of any other post secondary institutions attended? (School and Field of Study)
 
 
- Date completed?
 
 
 
 
 
- What is your highest level of education?*
 
 
 
 
 
 
- Are you currently attending school?*
 
 
- Are you looking to complete placement hours? If yes, how many, by when?
 
 
Those looking to complete placement hours need pre-approval from BBBS Peel, please call ASAP
 
 
Please complete AS MUCH information as possbile
 
 
 
When are you available to mentor?
 
 
 
 
- During the School Day?*
 
 
 
- After School?*
 
 
- Weekday Evenings?*
 
 
 
- Weekends?*
 
 
 
 
 
- Do you prefer to volunteer WEEKLY, Bi-WEEKLY or MONTHLY? Please also share any further details about your availability that would be helpful for us to know?*
 
 
 
 
General Information:
 
 
 
 
- Do you have pets?*
 
 
- Are you able to be around animals?*
 
 
 
 
 
 
- Which of these apply to you in regards to smoking?*
 
 
 
 
 
- Do you have or have you had any physical/emotional health concerns we should be aware of? (Please provide details if applicable, or N/A if it does not)*
 
 
 
 
 
- Have you ever had any police involvement? (Please share details of the situation and dates or N/A if it does not apply)*
 
 
 
 
Experience with Children/Youth and Additional Volunteer Experiences:
 
 
 
 
Please complete AS MUCH information as possbile
 
 
 
- Have you previously applied with any BBBS Agency? Yes/No - If yes, Pls share Where and Dates)*
 
 
 
 
 
- Please share your volunteer experience, child and non-child related? (include dates & age ranges)*
 
 
 
 
 
- Why do you think children enjoy being around you?*
 
 
 
 
Please select from the items below to describe the ideal child/youth for you to mentor? (You can share more specifics in your interview)
 
 
 
Age Preference (click Yes or No depending on your preferences):
- Age Preference: 6-8*
 
 
- Age Preference: 9-11*
 
 
 
- Age Preference: 12-14*
 
 
- Age Preference: 15+*
 
 
 
 
 
Character/Personality Traits (click Yes or No depending on your preferences):
- Energetic/Active*
 
 
- Outgoing*
 
 
 
- Quiet*
 
 
- Shy*
 
 
 
- Social/Friendly*
 
 
- Well Mannered*
 
 
 
- Withdrawn/Introverted*
 
 
 
 
 
 
- Do you have a preference regarding the gender of this child/youth?*
 
 
 
 
 
 
 
Continue to select from the items below to describe the ideal child/youth for you to mentor? (You can share more specifics in your interview)
 
 
 
Child/Youth's Interests (click Yes or No depending on your preferences):
- Likes animals?*
 
 
- Likes to do Arts & Crafts?*
 
 
 
- Likes to play board games & cards?*
 
 
- Likes books and reading?*
 
 
 
- Likes cooking & baking?*
 
 
- Likes cultural activities and events?*
 
 
 
- Likes to dance?*
 
 
- Likes to attend festivals and local events?*
 
 
 
- Likes outdoor activities?*
 
 
- Likes to stay indoors?*
 
 
 
- Likes to watch movies and TV?*
 
 
- Likes to play or listen to music?*
 
 
 
- Likes computers and technology?*
 
 
- Likes to play or watch sports?*
 
 
 
- Likes to build/construct things (legos, blocks etc.)?*
 
 
- Likes having conversation and talking?*
 
 
 
- Likes educational activities and topics?*
 
 
- Likes to play video games?*
 
 
 
 
References:
 
 
 
 
 
Please include AS MANY of the following references as possible. We are REQUIRED to complete a certain # and combination of reference for you to be successful.
 
 
 
If you are NOT ABLE TO PROVIDE AT LEAST 3 references below please email thanursa.vigneswaran@bigbrothersbigsisters.ca IMMEDIATELY after submitting this application.
Please let your references know that we will be in touch by phone or email. Thank you!!
 
 
 
Vulnerable Sector Reference:
 
If you have worked/volunteered with a vulnerable population (children under 18, Elderly, Those with Disabilities) in the past 5 years. If not please provide an employer reference.
 
 
 
- Vulnerable Sector Reference Name:
 
 
- Vulnerable Sector Reference Relationship:
 
 
- Vulnerable Sector Reference Length of Relationship
 
 
- Vulnerable Sector Reference Cell #:
 
 
- Vulnerable Sector Reference Work #:
 
 
- Vulnerable Sector Reference Ext:
 
 
- Vulnerable Sector Reference Email (we strongly encourage providing an email address):
 
 
 
 
 
 
Employer Reference:
 
If you were not able to provide a vulnerable sector reference please provide your current employer/supervisor. If you are self-employed or employed by family please contact us for further instruction.
 
 
 
We do prefer your current Manger/Supervisor but if this is not possible or you are not currently employed we will take a past Manager/Supervisor as a reference.
 
 
 
- Employer Reference Name:
 
 
- Employer Reference Relationship:
 
 
- Employer Reference Length of Relationship:
 
 
- Employer Reference Cell #:
 
 
- Employer Reference Work #:
 
 
- Employer Reference Ext:
 
 
- Employer Reference Email (we strongly encourage providing an email address):
 
 
 
 
 
 
Personal/Friend Reference:
 
This is a close friend who has known you for at least 2 years (not a family member, employer, partner or family friend)
 
 
 
- Personal Reference Name:
 
 
- Personal Reference Relationship:
 
 
- Personal Reference Length of Relationship:
 
 
- Personal Reference Home #:
 
 
- Personal Reference Cell #:
 
 
 
- Personal Reference Email (we strongly encourage providing an email address):
 
 
 
 
 
 
Significant Other Reference:
 
If you are in a relationship, please provide us with your partner's information (girlfriend, boyfriend, partner, common-law or spouse). If you are not currently in a relationship please move on to the Family Reference.
 
 
 
- Significant Other Reference Name:
 
 
- Significant Other Reference Relationship:
 
 
- Significant Other Reference Length of Relationship:
 
 
- Significant Other Reference Home #:
 
 
- Significant Other Reference Cell #:
 
 
 
- Significant Other Reference Email (we strongly encourage providing an email address):
 
 
 
 
 
 
Immediate Family Reference:
 
We consider immediate family to be a parent or a sibling over 18 years of age. Please let us know if you are not able to provide an immediate family reference.
 
 
 
- Family Reference Name:
 
 
- Family Reference Relationship:
 
 
- Family Reference Length of Relationship:
 
 
- Family Reference Home #:
 
 
- Family Reference Cell #:
 
 
 
- Family Reference Email (we strongly encourage providing an email address):
 
 
 
 
 
 
- Please click TRUE if you authorize Big Brothers Big Sisters of Peel to contact your reference:*
 
 
 
 
To finalize your application please complete the items below. Once your application has been processed a member of our team will email you with further information about obtaining a vulnerable sector police check and a copy of our Permission and Release From which you will be required to sign and submit back to the agency. Thank you!
 
 
 
- - Please accept this as my BBBS Peel Mentor Application.*
 
 
- On this Date*
 
 
 
 
 
All information shared with us from your references will remain confidential and cannot be shared with you, the applicant.
 
Please only click Submit once to avoid multiple application entries.