Volunteer Volunteer Application Form Name:* First Last Local address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I live at this address:*Year-roundOther (describe)OtherPreferred telephone number:*This number is a:*HomeCellWorkSecondary telephone number (if applicable):This number is a:HomeCellWorkEmail Address:* DOB:* Date Format: MM slash DD slash YYYY Gender Description*Preferred pronouns:She, herHe, himThey, themOther (please describe)Describe:Currently a student:*YesNoIF YES - school attended:IF YES - Field of study (if declared):Currently employed outside the home:YesNoIF YES - Employer’s name:IF YES - Role within company:I learned about JBBBS from (check all that apply):* A past or present JBBBS volunteer (indicate name of past or present volunteer below) A Big Brother/Sister from another agency Another supporter of JBBBS, not a volunteer (indicate name of JBBBS supporter) CJP (indicate name below) Big Brothers Big Sisters of America Another service organization (indicate which organization) My college or university (indicate which college/university) My place of worship (indicate which) Company, Business or Employer (indicate which below) Internet search Other (describe) Describe:I would consider volunteer opportunities with (check all that apply):* Children Children with disabilities/special needs Adults with disabilities I have access to a personal vehicle:*YesNoPlease indicate whether you are anticipating any major life changes over the next year (i.e. new jobs, out-of-area moves). If none, write “N/A.”*Please indicate, in a sentence or two, why you’re considering volunteering with us.*
