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Adult Big Application

Thank you for your interest in becoming a volunteer mentor.

Along with this application, you will need to submit a copy of a government-issued photo ID, as well as your driver's license (if not used as your government-issued photo ID), 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, gender identity, religion, or national origin.

Possession of a driver's license is required if you will be transporting a program youth in any vehicle you are operating.


Please provide the names and contact information of three personal references. References may include individuals who have known you for at least two years, such as friends, coworkers, neighbors, religious leaders, teachers, etc. Please do not include family members.


By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer mentor, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I authorize Big Brothers Big Sisters of Licking and Perry Counties to contact my references, and I give my permission for them to provide information about me. I release all parties from all liability for any damage that may result from furnishing this information to Big Brothers Big Sisters of Licking and Perry Counties.

I understand and agree that my volunteer status may be contingent upon the results of a criminal background check, including the use of fingerprints if necessary. I further understand that any information obtained as a result of the background check will be held in strict confidence.

I understand that if I am matched with a youth, I will be required to attend an orientation/training session and complete an interview with program staff. I also understand that if accepted as a mentor, I will be required to make a minimum one-year commitment to the program, spending a minimum of four hours per month with my mentee.

I understand that the information provided in this application will be used for background check purposes and will be kept confidential.

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