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Community Based Mentoring
Community Based Program
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We place a safe, positive, encouraging adult in the child’s life to spend 2-4  hours per week participating in activities in the community. Activities include going to the park, going fishing, Kings Island, Cincinnati Reds games, watching movies, or just hanging out.


Big Brothers and Big Sisters provides volunteers with case managers from our agency as a resource for any challenges that might arise during the match.  Case managers keep in close contact with all "Bigs" as a way to monitor and support the match.  Our case managers have social work backgrounds and are well equipped to handle any questions or concerns that a volunteer might have.    

To submit an application to be a Community Based Mentor, please fill out the information below.
You will receive a confirmation email that your application has been received.

VOLUNTEER POLICY AND PROFILE

Big Brothers/Big Sisters is a social service program designed to help children who have shown a need for a strong relationship with an interested adult. While the program is an interfaith and inter-racial one, the desires of the child's parent or guardian are respected in the selection of the appropriate adult for each child.

In determining whether an applicant may be considered for a match and what information shall be communicated to each party involved in any perspective match regarding the other, due consideration must be given to those past and present factors in the health, personality, and behavior of each individual and/or family constellation which professional Agency personnel deem under the circumstances, may have a significant effect upon the relationship, and which, if revealed at a later day, might effect it adversely. Relevant information shall be provided; however, the name or names of the parties described shall be held confidential before the match is made. Any party has the right to refuse to enter into the match based upon the information so communicated.

The assessment interviews are designed to establish a profile of you and your interest. This profile will be used by the Agency to determine your stability and suitability for service and if it is deemed by the professional staff and/or the governing Board of the Agency that you are suitable, to best match you with a Little Brother/Sister. Except for parents and/or guardians with a direct responsibility for a Little Brother/Sister who has been pre-screened and is actively being considered for a match with you, all elements of your profile will be kept in the strictest confidence. All information is confidential within the Authorized Agency Individuals.

Of course, prior to any assignment to a Little Brother/Sister a similar profile of him/her and his/her family will be discussed with you to insure that your interests are respected.

Community Based Mentoring Volunteer Application
"Big" Application - CBM - Full Name (First, Middle, Last)
Address (# and Street, City, State, Zip, and County in State)
Length of Residence
Email Address, if any
Home Phone() -
Cell phone() -
Best time to contact you
Occupation & Employer Name
Employer Address (# and Street, City, State, Zip)
How long employed?
Work Phone() -
Can you be contacted at work? What are your work hours?
Social Security Number
Date of Birth
Marital Status (Single, Married, Divorced, Widowed, Cohabiting)
Highest Level of Education
List all those living in your home
Have you ever volunteered as a Big Brother or Big Sister for any Big Brother/Big Sister agency before? If yes, which agency, and when?
Do you have any physical or mental condition which may limit your ability to serve as a Big Brother/Sister? If yes, please explain.
Do you sincerely feel you can meet the minimum standard of spending two to four hours per week with an assignment?
Do you sincerely feel that you will be able to remain in the program for at least one year?
Do you object to the agency checking with appropriate public authorities (e.g. police, courts, Bureau of Motor Vehicles department, etc.) for matters of public record regarding your background or history?
REFERENCE #1's Name (Person who has known you for at least two years and is NOT a relative -- employer, if possible)
REFERENCE #1's Home Phone, Cell Phone, Work Phone, and email address (if any)
REFERENCE #1's Address, City, State, Zip
REFERENCE #2's Name (Person who has known you for at least two years and is NOT a relative -- clergy, if possible)
REFERENCE #2's Home Phone, Cell Phone, Work Phone, and email address (if any)
REFERENCE #2's Address, City, State, Zip
REFERENCE #3's Name (Person who has known you for at least two years and is NOT a relative)
REFERENCE #3's Home Phone, Cell Phone, Work Phone, and email address (if any)
REFERENCE #3's Address, City, State, Zip
REFERENCE #4's Name (Person who has known you for at least two years and is NOT a relative)
REFERENCE #4's Home Phone, Cell Phone, Work Phone, and email address (if any)
REFERENCE #4's Address, City, State, Zip
As a volunteer, it is imperative that you have a car at your disposal. We are required to verify auto insurance coverage on all of our volunteers to limits specified by the state of Ohio. Does the car have proper liability insurance with state minimum required that will cover any passengers in case of an emergency?
Auto Insurance Company Name and Agent's Name
Auto Insurance Phone Number() -
Auto Insurance Policy Number, Current Limits, and Expiration Date
The undersigned acknowledges that (i) he/she is not obligated, if called upon to perform the volunteer services herein for, and that the Agency is not obligated to assign, or actively seek to assign, him/her a Little Brother/Little Sister and (ii) as a part of the Agency's assessment process, additional personal information will be elicited from the applicant by professional Agency personnel and (iii) he/she agrees to these conditions and procedures. Signature and date (to be completed at interview)

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