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 If you are a student, what year are you currently at school? Select One Freshman Sophomore Junior Senior Graduate Student I can commit and accomodate my schedule to meet 2 to 4 times a month with my "Little" Select One Yes No Unsure 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 Temple/Synogague 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 Other (please specify in additional comments) 
