Big Brothers Big Sisters Volunteer Application
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3For agency use only:
Govt. ID: _____________________
BIG BROTHERS BIG SISTERS OF CENTRAL MISSOURI
DMV Lic.: ____________________
Auto Ins.: _____________________
□ CB □SB
VOLUNTEER APPLICATION
Thank you for your interest in becoming a Big Brother or Big Sister. Please submit completed application via email to
, by fax to 573-874-3670, or by mail to 4250 E Broadway, Suite 1067, Columbia, MO 65201.
You will need to submit a copy of your driver’s license and proof of auto-insurance if you plan to transport a child within
the community-based program. All applications will be given equal consideration regardless of race, age, sex, disability,
marital status, sexual orientation, religion or national origin.
GENERAL INFORMATION
Preferred Name:
First Name:
Last Name :
Home Phone #:
Work Phone #:
Cell Phone #:
Is it okay to text you?
Yes
No
Cell phone Provider:
Home Address:
City:
Zip:
County:
Preferred E-mail:
Best time to contact you and preferred method (phone, email, etc)?
Race/Ethnicity:
Gender:
American Indian or Alaska Native
Asian
Social Security Number:
Black or African American
Hispanic or Latino
Date of Birth:
Native Hawaiian or Pacific Islander
White
Marital Status:
Other
Maiden Name if applicable:
Multi Racial (check all that apply)
Nationality/Country of Origin:
Occupation:
How Long Employed?
Work Hours?
Highest Level of Education:
Are you a student at this time?
Yes
No
Area of Study:
If yes, where:
Have you previously applied to be or served as a Big Brother or Big Sister here or anywhere else?
Yes
No
If yes, when and where?
Have you ever been involved with Big Brothers Big Sisters in a capacity other than a Big?
Yes
No
If yes, when and where?
Have you ever been denied acceptance or released from service as a volunteer or employee for another Big Brothers Big
Sisters program or youth-serving organization?
Yes
No
If yes, when and where?
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