Interested in Becoming a Big?

If you are interested in becoming a mentor, fill out the below application and click submit. A professional Enrollment Specialist will begin to process your information as soon as it arrives. You will be contacted so further steps can be taken to get you a little brother or sister.

On behalf of the more than 150 Ready to be Matched children – thank you for your interest.

FOR PROCESSING PURPOSES, ALL FIELDS MUST HAVE A RESPONSE.

Note: This application is for volunteers who live in Wisconsin in Calumet, Outagamie, Waupaca or Winnebago counties. If you live outside of this area, please visit the Big Brothers Big Sisters of America national website to search for your local agency.

Contact Information

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Email Address

Home Phone Number

Work Phone Number

Mobile Phone Number

About You

Gender

Birthdate

Ethnicity

Marital Status

Highest Level of Education

Employer

Occupation/Job Title

Length with Current Employer and Average Work Hours

May we contact you at work?

Have you ever applied to BBBS before? If Yes, where?

Please select program of choice
Learn more about program types.

Referral

How did you hear about us?

Name of Person or Organization
(If "Self", type "Self".)

References

Supervisor or Teacher

(who has known you for at least 1 year)

Name

Day Phone Number

Evening Phone Number

Email Address

Indicate relationship and how long you have known this person.

Coworker or Neighbor

(who has known you for at least 2 years)

Name

Day Phone Number

Evening Phone Number

Email Address

Indicate relationship and how long you have known this person.

Spouse, Significant Other, or Family Member

Name

Day Phone Number

Evening Phone Number

Email Address

Indicate relationship and how long you have known this person.

Volunteer Organization

Or other experience where you worked with children.

Organization

Name

Day Phone Number

Evening Phone Number

Email Address

Submitting this information does not obligate me to volunteer and BBBS is not obligated to match me with a youth.
I understand.

The information I provided can be used to conduct a thorough background check, to include all records where required by law for volunteers working with youth.
I understand.

Other BBBS agencies or other organizations where I have worked or volunteered may be contacted as references.
I understand.

As part of the enrollment process, I will be asked to provide additional personal information prior to making recommendations for assignment.
I understand.

I will provide true and complete information to BBBS staff throughout my screening process and program participation.
I agree.