Big Brothers and Big Sisters

Start your application

Applicant Name*
First Last
Preferred Name*
Age*
Date of Birth*
Gender*
How would you describe your ethnicity and/or race?
Applicant Email*
Cell Phone*
Parent(s)/Guardian Name(s)*
Parent/Guardian Email*
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent Cell*
List Clubs, Extracurricular Activities, Sports*
Would any of your sports or activities interfere with Friday evening meetings with your Little? (6:30pm – 7:30pm)*
Have you had paid experience working with children?*
- Yes
- No
Have you ever volunteered with children?*
- Yes
- No
If yes, please share your experience.*
References
Please provide the names, addresses, and email of THREE adults who have known you for at least one year. At least ONE MUST be a faculty or staff member on campus, only ONE can be a family member. * Please Notify each reference that we will be in contact with them.
1. Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference Email*
2. Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference Email*
3. Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference Email*
Who is your advisor?*
PLEASE READ BEFORE SUBMITTING YOUR APPLICATION*
- By checking this box, you understand that these meetings take place virtually between 6:30 pm and 7:30 pm during the 2020-2021 academic year, but will likely revert back to 6:00 – 8:00 pm in person on campus during the 2021-2022 academic year.
- By checking this box, you sincerely believe that it is possible for you to remain in the program until you graduate.
- By checking this box, you understand that if you do not receive a copy of your application in your email after submission, then the CSGC has not received your application.
You should save all your responses in a word doc before submitting your application
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Apply to become a Big Brother or a Big Sister

References

Canceling a meeting?