Teen Volunteer Application
Thank you for your interest in becoming a teen mentor with BGC Big Brothers Big Sisters of Edmonton & Area. Through this application we will be asking you to provide your basic personal, demographic and contact information. Our agency uses information gathered in a professional manner, information will be kept confidential based on agency policy.
BGC Big Brothers Big Sisters of Edmonton and Area embodies the principles of diversity and welcomes participation of all regardless of race, religion, culture or sexual orientation. Our agency works to create a safe, respectful and inclusive environment for all who are involved with our programs.
If you encounter any issues with this form, please contact: Laura Nguyen at
laura.nguyen@bgcbigs.ca
or 780-490-6843.
Choose A Program
*
Supervised Teen Mentoring
BGC Big Brothers Big Sisters serves Edmonton,the surrounding area, and satellite locations. Please indicate which location you are applying to volunteer in.
Please choose the location you will be volunteering
*
Edmonton
Strathcona
Parkland
Morinville
St. Albert
Lac La Biche
Click "Next" to continue your application. At any time you can click "Previous" to review or edit previous pages.
Your Information
On the following pages we will be asking you to provide personal information for your application. Our agency will keep information provided confidential, based on our agency policy.
First Name
*
Last Name
*
Preferred Name (if different from fist name)
Date of Birth (MM/DD/YYYY)
*
Gender
*
Specified Gender Identity if Not Listed
Male
Female
Transgender
Non-Binary
Specified Gender Identity
Preferred Pronouns
*
Preferred Pronouns (not listed please specify)
She/Her/Hers
He/Him/His
They/Them/Theirs
Ey/Em/Eir
Ve/Ver/Vis
Xe/Xem/Eyr
Zie/Hir/Hirs
Other
Prefer not to say
Street Address
*
City
*
Province
*
Postal Code
*
Primary Phone Number
*
Alternative Phone Number (if different from primary phone)
Email
*
Current School
*
Grade
*
Archbishop Jordan Catholic High School
Austin O'Brien Catholic High School
Bellrose Composite High School
My PATH: Connections for Learning
Eastglen High School
École Michaëlle-Jean
École Plamondon School
École Secondaire St. Albert Catholic High School
Edith Rogers School
Elder Dr. Francis Whiskeyjack High School
Highlands School
Holy Trinity Catholic High School
J.A. Williams High School
J. Percy Page High School
Kate Chegwin School
kisêwâtisiwin School
Light of Christ Catholic School
M.E. LaZerte School
McNally High School
Memorial Composite High School
Morinville Community High School
Old Scona Academic
Salisbury Composite High
Spruce Avenue School
Spruce Grove Composite High School
T. D. Baker School
Thelma Chalifoux School
If you are also currently employed, where?
I have been a volunteer with another child/youth serving organization.ed with child/youth serving program?
Do you speak any language(s) other than English?
*
Were you born in Canada
*
Ethnicity
*
Yes
No
African
American
Asian-all other
Central American
English Canadian
European
First Nations/Metis
French Canadian
Inuit
Metis
Middle East
Pacific Islands
South American
Southeast Asian
Undisclosed
Emergency Contact Full Name
*
Relationship to Emergency Contact
*
Emergency Contact Phone Number
*
Click "Next" to continue your application. At any time you can click "Previous" to review or edit previous pages.
References
As part of the application process, we will be asking for two references, one will be from your parents/guardians which you will provide the contact information for below. The other will be from your teacher, your School Based Facilitator will provide further instructions for this during your interview.
Once you have submitted your application, emails/texts with instructions on completing the parent/guardian reference will be sent. Please encourage your caregivers to check their email (including spam/junk) for the email.
I have read and understand the above, and consent to my parent/guardians being contacted
*
Parent/Guardians Full Name (First and Last Name)
*
Parent/Guardians Email
*
Parent/Guardian Phone Number
*
Getting to Know You!
GETTING TO KNOW A LITTLE ABOUT YOU! Please answer these questions so that we can get to know the real you better and find the right match for you.
1. What are your interests and hobbies? How do you spend your free time? Type your answer below
*
2. When I am with my friends, we are usually doing these activities: Type your answer below
*
3. Experiences with Children, describe and name any involvement you’ve had with children and youth (either a volunteer or paid) and the ages of those children/youth: Type answer below
*
4. What did you learn while working with children in the past: Type your answer below
*
5. What challenges did you have when working with children: Type your answer below
*
6. Do you have a gender preference with your mentee? Type your answer below
*
7. Which of the following words would describe the mentee with whom you feel comfortable working with? Please Chose from the list here and type your answer below: Artistic, Athletic, Calm, Creative, Excitable, Funny, Learning Difficulties, Loud, Over Active, Quiet, Serious, Shy, Social Emotional Difficulties
*
8. Please provide any other information to aid us in finding the right match for you: Type your answer below
Your Application is Almost Complete
Consent Page
Please read through and complete the consents
Volunteer Permission and Release Agreement.
For Section 6 Media Consent you will need to indicate your response below and will not be able to do so on the link. Note if you are under the age of 16 your parents/guardians will also need to sign (this will be included in the reference email).
I have read and agree to the terms of the Volunteer Release Agreement and Summary.
*
Media Consent Response
Yes, I agree and consent for photographs and videos to be taken
No, I do not consent for photographs and videos to be taken
Please read the consents below on participation and confidentiality.
*
I am aware that I will participate in the Boys and Girls Clubs Big Brothers Big Sisters of Edmonton & Area (referred to as BGCBigs hereafter) Teen Mentoring Program as a volunteer mentor through my school. I understand that this is a site based mentoring program supervised by BGCBigs staff and school/site staff. This means that I will only see my mentee at the school/site during programtimes. All information obtained in the enrolment process is confidential and is the property of BGCBigs. Applicants must sign a written release to this effect. Agency-generated information from the review process can be made available to the applicant under the guidelines set forth in the Freedom of Information and Protection of Privacy Act. Personal reference checks are not agencygenerated and the information they contain cannot be made available to the applicant at any time. BGCBigs reserves the right to delay or refuse, without explanation, any application submitted to the program. Even after an application has been approved and a volunteer has been matched, the agency reserves the right to terminate at any time, and without explanation, the volunteer from theprogram. I give permission for BGCBigs to release pertinent information regarding my file to the school/agency, to assist in the process of matching. Further, I agree to allow my file to be viewed by Big Brothers and Big Sisters of Canada, or Alberta Children’s Services at the time of the agency review, should it be requested. I further grant BGCBigs permission to release my name, date of birth, address, agency applied to and notice of acceptance or rejection to Big Brothers Big Sisters of Canada. • I agree to complete all surveys/questionnaires related to the evaluation of the program throughoutthe time I am involved with the agency. • I hereby release and forever discharge BGCBigs, and their employees, directors and volunteers from any cause of action or claim for damages, whether bodily injury, death, property damage, or emotional trauma, anxiety or distress arising from my association with BGCBigs. • I hereby authorize BGCBigs to solicit the above references in connection with my volunteer application. I release and hold harmless the above references and BGCBigs from any liability. I understand and consent to the waiver. I agree that this waiver is made of my own free will and without duress. Any questions I have had regarding this waiver have been answered. Confidentiality *In the course of your service with BGCBigs you may learn intimate, personal facts about clients and families. We ask that you not discuss these matters with people outside this agency. * • I agree that as a mentor I will fulfill the expectations of my role, respecting the confidentiality of all program participants. I understand the importance of this and I will not knowingly divulge any information that could impact the identity or self esteem of a mentee or one of my peers. Any concerns regarding safety or well being will be brought to the attention of my school liaison, BGCBigs caseworker or classroom teacher. I will carry this out to the best of my ability. • I will not, without due authorization, disclose or make known any matter which comes to my knowledge by reason of my involvement with the agency. Breaking this policy could result in my dismissal.
Yes, I have read and I agree to the above
*
I agree that the information I have provided is true to the best of my knowledge. I authorize Boys & Girls Clubs Big Brothers Big Sisters of Edmonton & Area to use the information I provided within their agency.
*
I consent that this document acts as my electronic signature and permission. *
*
Your Full Name (First and Last Name)
*
Please enter today's date (MM/DD/YYYY)
*