Personal 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?*
 
 
Your Email:*
 
 
 
Email
 
 
 
 
 
1. How long have you known the applicant?*
 
 
 
2. What is your relationship to the applicant?*
 
 
 
3. Did you know the applicant was applying to be a mentor?*
 
 
3a. If so, what was your reaction?*
 
 
 
4. Do you have any concerns about whether this is an appropriate volunteer role for the applicant? If yes, please explain.
 
 
 
5. What is it like to have the applicant as a friend (What type of friend is the applicant)?*
 
 
 
6. What personal strengths do you feel the applicant has to offer?*
 
 
 
7. Based on your understanding of the applicant's relationships, who do you think they are most likely to seek out or respond to for support of guidance?*
 
 
 
8. Can you tell me about the applicant's community involvement and personal interests?*
 
 
 
9. Can the applicant be counted on to follow through on their commitments? Please Explain:*
 
 
 
10. Have you witnessed the applicant interacting with children? If yes, how does the applicant ensure the safety and well-being of young people under their supervision?*
 
 
 
11. Have you ever known the applicant to be inappropriate (emotionally, physically, verbally and sexually) with either adults or children?*
 
 
11a. Please Explain*
 
 
 
12. To your knowledge, has the applicant ever had any troubles following rules/instructions?*
 
 
12a. If so, what kind of rules?*
 
 
 
13. Is there anything that you are aware of that may interfere with the applicant's ability to participate in programming, or that would cause their volunteer commitment to come to an end prematurely?*
 
 
 
14. Has the applicant experienced a substance use or physical or mental health concern that may impact their ability to participate actively as a volunteer mentor? *
 
 
 
15. Have you had the opportunity to see the applicant's home environment? (applicable only for community-based programs)*
 
 
15a. If yes, Please describe the applicant's home environment and neighbourhood, and list any concerns you may have regarding a child visiting the home*
 
 
 
16. Would you allow the applicant to develop a one to one relationship with your child or a young person you care about?*
 
 
 
17. Would you recommend the applicant as a mentor for a child or youth?*
 
 
 
18. Is there anything you would like to add that would aid us in our decision?*
 
 
 
Date*
 
 
 
 
Thank you so much for completing the required personal reference!  Should you have any questions or concerns, please don't hesitate to contact us @ 780-424-8181.