Volunteer Application Form
optional
Current Address
Street
Street (Line 2)
City
State/Province
Zip/Postal
Or primary phone
optional
optional
If applicable
If applicable
Employer or School Address
Street
City
State/Province
Zip/Postal

Section

I understand that

  1. The references I list may be contacted in-person or by mail, telephone, or email.
  2. This application in no way obligates me to perform any volunteer services.
  3. The information I provide may be used to conduct a background check, driving record check and/or any other information require by local, state, or federal law for volunteers working with youth
  4. I understand that BBBS will conduct subsequent background screenings to ensure child safety
  5. BBBS is not obligated to match me with a youth
  6. As part of the enrollment process, I will be asked to provide additional personal information prior to receiving any recommendations for assignment
  7. Proof of a driver's license and copy of auto insurance is required to participate in the Community-Based program. Digital signatures can't be accepted from driver's license carriers of AR, CA, CO, GA, MD, MA, NH, WA.

Section

References

Please provide the following information for your references:

  1. Spouse or live in boyfriend/girlfriend required if applicable
  2. A close family member who has known you at least 3 years
  3. Your current or past employer who has known you at least 1 year
  4. Personal friend who has known you at least 2 years
  5. Personal friend who has known you at least 2 years
  6. Previous youth experience required if applicable

Spouse or live in boyfriend/girlfriend

Required if applicable

Close family member who has known you for at least 3 years

Coworker (or teacher if a student) who has known you at least 1 year

Personal friend who has known you at least 2 years

Personal friend who has known you at least 2 years

If you have worked or volunteered with children or youth within the past 5 years

Required if applicable
Address
Street
Street (Line 2)
City
State/Province
Zip/Postal

Section

I hereby waive any privacy or other privilege I might have and authorize the State of Florida Department of Law Enforcement to search criminal records, and if there are any entries therein to copy such and deliver copies of any such entries or other references to Big Brothers Big Sisters of Greater Miami. This waiver is executed with full knowledge and understanding that the information is for the use of Big Brothers Big Sisters of Greater Miami in evaluating my application for membership in the organization, particularly my worthiness of character as an influence on young persons I may come into contact with as a member of that organization.

Section

Would you like to cover the cost of your background check now?
(A minimum donation of $50 is recommended.)