Volunteer Application
Questions marked by * are required.
1. First Name: *
2. Last Name: *
3. Sex: *
  • Male
  • Female
4. Address: *
5. City: *
6. Zip Code: *
7. Primary Phone: *
8. Secondary Phone:
9. Best Time to Call:
10. Email Address: *
11. Ethnicity: *
12. Birthdate: *
13. Birthplace: *
14. Please select program(s) of interest: *
  • One-to-One Match Program (2 to 4 times a month for at least a year)
  • After-School Program (Tues or Wed, 2:30-5:30pm, -for at least 6 months- in Watsonville)
15. How did you hear about the agency? (OR How were you most recently reminded?): *
  • GoodTimes advertisement
  • Newspaper article/ad
  • TV commercial / Movie
  • 1-800-Volunteer.org
  • VolunteerMatch.org
  • Volunteer Center of SC County
  • University/College
  • Volunteer Center
  • Friend/Colleague
  • Presentation given @ workplace/sports league
  • Google search (mentoring)
16. Driver's License #:
17. Do you have access to a car? *
  • Yes
  • No
18. Do you have auto insurance? *
  • Yes
  • No
19. Employer (requirement of a Big. Employer/Professor will be contacted as a reference): *
20. Occupation:
21. Length of Employment:
22. Contact at Work:
23. Do you have children? *
  • Yes
  • No
24. Years of High School:
25. Years of Trade School:
26. Years of College:
27. Do you plan to take classes or return to school? If so, please explain.
28. How long at Current Address: *
29. Do you rent or own? *
  • Rent
  • Own
30. With whom do you live? *
31. Do you plan to move?
32. Please list your previous THREE addresses (in the past 5 years) and the dates at each address:
33. Name of Current Employer Supervisor (OR Current Professor): *
34. Phone for Current Employer Supervisor (OR Current Professor) *
35. Address, City, State, and Zip Code:
36. Name of Personal Reference #1: *
37. Personal Reference #1 Phone: *
38. Reference #1 Street Address, City, State, and Zip Code:
39. Name of Personal Reference #2: *
40. Reference #2 Phone: *
41. Reference #2 Street Address, City, State, and Zip Code:
42. Name of Personal Reference #3: *
43. Reference #3 Phone: *
44. Reference #3 Street Address, City, State, and Zip Code:
45. What specific interests and aspects of yourself would you offer as a volunteer?
46. Please list present membership in organizations and clubs (include offices held):
47. Please list your volunteer experience (especially with children):
48. Have you ever been a Big Brother or Big Sister (or been in a similar program)? If so, what program and where? (Please include name or agency and telephone number):
49. Name of Previous Employer Supervisor:
50. Your Previous Position:
51. Dates Employed:
52. Reason for leaving:
53. Name of Previous Employer #2:
54. Dates Employed for Previous Employer #2:
55. Are you planning any change in occupation (place of employment, promotion, etc) within the next year? If so, please explain: *
56. List three things you like about yourself: *
57. List three things you would like to change about yourself: *
58. What appeals to you most about becoming a Big Brother or Big Sister: *
59. What apprehensions or hesitations do you have concerning this commitment? *
60. Please indicate your language of preference: *
61. Please list other languages you are fluent in:
62. Do you use social networking sites such as blogs, myspace or facebook? *
  • yes
  • no