Significant Other Reference
 

Boys and Girls Club Big Brothers Big Sisters of Edmonton is an organization that enrolls volunteer mentors to provide a healthy role model to children and youth in our community. Volunteer mentors must provide a stable, positive influence over the period of their commitment, which is usually a school or calendar year. Many of the resilient children and youth in our programs have experienced challenges in their lives; relying on the consistent presence of a mentor makes a difference in their lives, likewise ending this important relationship sooner than expected can have a detrimental effect on the young person. Help us Start Something for our community’s youth by providing a reference that, to the best of your knowledge, is an honest reflection of the applicant and their ability to be a positive influence in the life of a child.

Your responses will remain confidential.

Thank you.

 
 
 
Name of person who you are providing a reference for.*
 
 
 
 
 
Your Name*
 
 
 
Best contact phone number*
 
 
Email*
 
 
 
Email
 
 
 
 
 
1. How long have you known your partner?*
 
 
 
2. Did you know your partner was applying to be a mentor? If so, what was your reaction?*
 
 
 
3. Do you have any concern about whether or not this is an appropriate volunteer role for your partner?*
 
 
 
4. Are you supportive of your partner's application to become a mentor with BGCBigs?*
 
 
 
5. How much free time does your partner have each week to commit to volunteering?*
 
 
 
6. What personal strengths do you feel your partner has to offer?*
 
 
 
7. Can you tell me about your partner's community involvement?*
 
 
 
8. Can you tell me about your partner's personal interests?*
 
 
 
9. Can your partner be counted on to follow through on the commitments they undertake? Please Explain:*
 
 
 
10. Have you witnessed your partner interacting with children/youth? *
 
 
10a. If Yes, How does your partner ensure the safety and well-being *
 
 
 
11. Have you ever known your partner to be inappropriate (emotionally, physically, verbally and sexually) with either adults or children?*
 
 
11a. Please Explain:*
 
 
 
12. To your knowledge, has your partner ever had any trouble following rules?*
 
 
12a. If so, what kind of rules*
 
 
 
13. Are you aware of any complaints being made or disciplinary actions being taken against your partner? If yes, please explain:*
 
 
 
14. Are you aware of anything that may interfere with your partner's ability to participate in programming, or that would cause their volunteer commitment to end prematurely?*
 
 
 
15. Has your partner experienced a substance use, or physical or mental health concern that may impact their ability to participate actively as a volunteer mentor?*
 
 
 
16. Have you had the opportunity to see your partner's home environment? (applicable only for community based programs)*
 
 
16a. If yes, please describe your partner's home environment and neighbourhood, and list any concerns you may have regarding a child/youth visiting the home.
 
 
 
17. Would you allow your partner to develop a one-to-one relationship with a child or young person that you care about? *
 
 
 
18. Would you recommend your partner as a mentor for a young person?*
 
 
 
19. Is there anything you would like to add that would aid us in our decision?*
 
 
 
Date*
 
 
 
 
 
Thank you so much for completing the volunteer reference for your significant other!  Should you have any questions or concerns, please don't hesitate to contact us at 780-424-8181.