Month Select One January February March April May June July August September October November December Day Select One 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 I would be open to working with Do you have a car or regular access to a car? Select One Yes No How many minutes are you willing to travel to get to your Little's home? *
How long do you plan on living in the Boston area? Select One Less than 6 months 6 months to 1 year 1 year to 2 years 2 years or more Are you currently a student? Select One Yes No I can commit and accomodate my schedule to meet 2 to 4 times a month with my "Little" Select One Yes No Unsure If you are a student, what year are you currently at school? Select One Freshman Sophomore Junior Senior Graduate Student I understand that the cost of events that I do with my "Little" is for me to pay Select One Yes No Unsure I understand that if matched I will be required to check in with my social worker on a monthly basis Select One Yes No Unsure I understand that I will be asked for three (3) people to contact for personal references Select One Yes No Unsure I understand that multiple legal background checks will be conducted Select One Yes No Unsure How did you hear about JBBBS? Select One JDate Big Brothers Big Sisters of America Other Local Big Brothers Big Sisters agency Combined Jewish Philanthropies (CJP) Gesher City The United Way Other Big/Friend of JBBBS Newspaper/TV Advertisement Facebook Temple/Synogague Young Professionals Events (The Big Little Connection) Other (please specify in additional comments) 
