Students Mentoring Students Bursary Application

Thank you  for your interest in volunteering with Boys & Girls Club Big Brothers Big Sisters of Edmonton & Area. Through this application, we will be asking you to provide basic personal, demographic and contact information. Our agency uses information gathered in a professional manner, information will be kept confidential based on agency policy. 

Prior to starting the application, please take a moment to gather emails and phone contact information for your references. There are 3 types of references that are required, they are as follows;
            1.Significant Other/Partner or Family Reference. 
            2.Supervisor Reference (Volunteer or Employment). If you have volunteered/worked within the vulnerable sector please provide your supervisor/lead for that work.
            3.Personal/Friend Reference. Must have known you for minimum two years. 

We also encourage you to review the webpage and the Application Process.

If you encounter any issues with this form, or have any questions please contact Danielle Newman. 

Boys & Girls Clubs 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.  

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Your Commitment

  • 100 post-secondary students will be a mentor to two (2) young people from October 2024 through April 2025.
  • Each mentor will spend one (1) hour per week with each young person (2 hours max.).
  • School loations include one of our All In for Youth (AIFY) Schools:
    • St. Alphonsus Elementary/Junior High
    • John A McDougall Elementary
    • Delton Elementary
    • Spruce Avenue Junior High
    • Ivor Dent Elementary/Junior High
    • Abbot Elementary
    • Norwood Elementary
  • Additional school locations include:
    • Meyokumin School (limited space available)
    • St. Elizabeth School (limited space available)
    • Ecole Gabrielle Roy (Francophone school)
  • Because mentoring takes place during school hours, in order to fulfill your commitment, you will need approximately two (2) hours available between 9:00 A.M. and 3:00 P.M. on Mondays, Tuesdays, Wednesdays or Fridays or between 9:00 A.M. and 2:00 P.M. on Thursdays.
Successful completion of the program requires:
  • Spend approximately 40 hours mentoring in addition to completing 15-20 hours of enrollment, training and match monitoring requirements.
  • Participate in mandatory online training(s)
  • Complete a sign-in/sign-out form for every mentoring session
  • Remain in good standing for the duration of the volunteer commitment
  • Submit Bursary Application Form to Volunteer Alberta.

All  successful applicants will be required to:

  1. Apply to the SMSB program via the CNiP website
  2. Complete the BGCBigs online application form
  3. Provide three (3) references
  4. Provide proof of post-secondary enrollment
  5. Complete a Police Information Check
  6. Complete a Child & Youth Intervention Record Check
  7. Complete a pre-screen and interview (2.5 hrs)
 
 
 
Program*
 
 
Please indicate the location where you reside*
 
 
 
 
 
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Your Information 
 
First (preferred) Name*
 
 
Last Name*
 
 
Legal/other first name:
 
 
Date of birth, please enter in this format (MM/DD/YYYY)*
 
 
Gender*
 
 
Specified Gender Identity (if not listed)
 
 
Preferred Pronouns
 
 
Preferred Pronouns Not Listed Please Specify
 
 
 
How you heard about us?*
 
 
Other (please specify)
 
 
 

**Please note: Reference requests to referees will automatically get sent out using the "First (preferred) name" you enter**

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Your Information 
 
 
Address*
 
 
City*
 
 
Province*
 
 
Postal Code*
 
 
Primary Phone*
 
 
Alternative Phone
 
 
 
Email*
 
 
 
 
 
Emergency Contact Full Name*
 
 
Relationship to Emergency Contact*
 
 
Emergency Contact Phone*
 
 
 
 
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Your Information 
 
 
 
 
Were You Born in Canada*
 
 
Ethnicity*
 
 
Additional Language(s) Spoken
 
 
 
 
 
Highest Level of Completed Education *
 
 
 
Are You Currently Attending School?*
 
 
If Yes, Where?*
 
 
Course of Study*
 
 
Are You Currently Employed?*
 
 
If Yes, Indicate Name of Current Employer (Company, Organization, Agency)
 
 
I have volunteered with or been employed by a child/youth serving organization
 
 
If yes, please specify organization name(s) and date(s)
 
 
 
 
 
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Your References
As part of the application process, we require 3 specific types of references.
Over the next few pages we will walk you through the best fit for each type of reference.
If you feel you do not have a type of reference that is required please leave the fields blank and one of our staff will support you in determining the best fit. 

Once you have submitted your application, emails/texts with instructions on how to complete the references will be sent to your referees. 
Please encourage your references to check their email (including the junk mail folder) for the reference email.
 
Page 5/10 - Click "Next" to continue your application. At any time you can click "Previous" to review or edit previous pages. 
 
 
 
 
 
Significant Other Reference
 If you have someone you view currently as a significant part of your life, then we want to have them complete a reference on your behalf. 
•This could mean that you are dating, living together, common law or married. 
 *If you do not have a significant other, please continue to next page. 
 
 
Significant Other Reference Name
 
 
Relationship
 
 
Years Known
 
 
Email
 
 
Phone
 
 
 
I authorize Boys & Girls Clubs Big Brothers Big Sisters of Edmonton & Area to contact the reference provided above.*
 
 
 
Page 6/10 - Click "Next" to continue your application. At any time you can click "Previous" to review or edit previous pages. 
 
 
 
 
 
Family Reference 

This person can be anyone from your family that you have current and consistent contact with.
-Ex. Parent, Aunt, Uncle, Sibling, Cousin
*Please only complete if previous Significant Other reference was left blank

 
 
Family Reference Name
 
 
Relationship
 
 
Years Known
 
 
Email
 
 
Phone
 
 
 
I authorize BGCBigs of Edmonton & Area to contact the reference provided above.*
 
 
 
 
 
 
Page 7/10 - Click "Next" to continue your application. At any time you can click "Previous" to review or edit previous pages. 
 
 

Personal/Character Reference
This person must know you for a minimum of 2 years, and should be someone you are in current contact with.
This cannot be a family member, but can speak to knowing you personally ex. Friend, close co-worker, Family friend
*This reference is required for all volunteer applicants. 
 
 
Personal Reference Name
 
 
Relationship
 
 
Years Known
 
 
Email
 
 
Phone
 
 
 
I authorize Boys & Girls Clubs Big Brothers Big Sisters of Edmonton & Area to contact the reference provided above.*
 
 
 
 
 
Page 8/10 - Click "Next" to continue your application. At any time you can click "Previous" to review or edit previous pages. 
 
 

Supervisor/Lead Reference:
Please provide one of the below references. This is required from someone who has played a supervisory or lead role in your life.  Below is a list in order of preference.
 
• Current Employer or Volunteer Work: If you have worked or volunteered within the vulnerable sector in the last 5 years, please provide your supervisor or lead information to complete a reference on your behalf. If you have not worked or volunteered within the vulnerable sector in the past 5 years please provide your current employer reference or a volunteer reference. 
Vulnerable sector includes: working with children, seniors, individuals with disabilities etc.  
 
 
 
 
Employer Reference Name
 
 
Relationship
 
 
Years Known
 
 
Email
 
 
Phone
 
 
 
 
 
Volunteer Reference Name
 
 
Relationship
 
 
Years Known
 
 
Email
 
 
Phone
 
 
 
 
 

If you do not have an employer or volunteer reference, a coach or teacher that knows you well can complete a reference on your behalf: 
  
Teacher or Coach Reference Name
 
 
Relationship
 
 
Years Known
 
 
Email
 
 
Phone
 
 
 
I authorize Boys & Girls Clubs Big Brothers Big Sisters of Edmonton & Area to contact the reference provided above.*
 
 
 
 
 
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Your Application is Almost Complete

Please review the Volunteer Release Agreement and Summary. You will be asked to sign a copy of this during your personal interview.

 
I have read and agree to the terms of the Volunteer Release Agreement and Summary.*
 
 
 
Students Mentoring Students Bursary Commitments:

  
I understand I need to complete 40 hours mentoring in addition to completing 15-20 hours of enrolment, training & match monitoring requirements*
 
 
I understand I must complete a sign in/sign out form for every mentoring session*
 
 
I understand I must participate in mandatory online and in-person training(s)*
 
 
I understand I must remain in good standing for the duration of the volunteer commitment *
 
 
I understand I must submit a Bursary Application Form to Volunteer Alberta *
 
 
 
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.*
 
 
 
Please enter today's date in this format (MM/DD/YYYY)*
 
 
 
Volunteer
 
 
 
 
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