Post-Secondary Student Mentor Application

This Form Will Take You Roughly 20-30 Minutes To Complete

In order to keep the information private and secure this application must be completed all at once and cannot be saved in stages. Please make sure you have enough time before starting the application. Thank you!

Mentor Eligibility Criteria

Before completing the application please review and complete the following checklist:(Required)

Each box must be checked in order for your application to be considered complete.

I am at least 18 years old.

I am a resident of Peel Region, York Region or Bradford West Gwillimbury.

I am currently enrolled in a post-secondary institution.

I understand that I am expected to commit for a minimum of one school year for program involvement

I understand the enrolment process includes a Vulnerable Sector Check, which has a cost of approximately $32 to be paid by me.

I understand that Big Brothers Big Sisters of Peel York is under no obligation to approve my application.

I understand that if I am not accepted as a Mentor, I will not be provided with a reason why.

I understand that BBBSPY is committed to creating an inclusive environment where all members of the community feel safe and respected.

As a volunteer Mentor, I will actively work towards supporting this commitment.

Please note that the information provided in this application will be held strictly confidential. PLEASE ENSURE THE APPLICATION IS COMPLETED IN FULL.

How did you hear about our agency?(Required)

Please select the program you are MOST interested in:(Required)

To help you make this decision please review the OUR PROGRAMS tab on our website.

Bigs On Campus at Sheridan College

Bigs On Campus at UTM

Black Youth Mentoring at Sheridan College

Black Youth Mentoring at UTM

PERSONAL INFORMATION

Name(Required)

First Last

Preferred Name (if applicable)

Gender Identity(Required)

Pronouns

Street Address(Required)

Address Line 2

City(Required)

Province / Territory(Required)

Postal Code(Required)

Country(Required)

Phone(Required)

Email(Required)

Date of Birth(Required)

Birth Place

Your response to this question is voluntary.

Canada

Other

Language(s) Fluently Spoken(Required)

EDUCATION INFORMATION

Please select the name of your school(Required)

Sheridan College

University Toronto Mississauga

Other

Name of Program(Required)

Year of Study(Required)

Please enter a number from 1 to 5.

Please list any other degrees, diplomas, and trainings

Please upload a clear copy of your current valid student ID(Required)

Drop files here or

Max. file size: 100 MB.

EMPLOYMENT INFORMATION

Are you currently employed?(Required)

Yes

No

If Yes, please list your employer

What is your current job title?

Before continuing, please ensure that your references know you have applied and ask them to watch for a reference email from our Agency. Also, please ensure that the email addresses of your references are spelled correctly below. Moving to the next steps in the enrolment process is contingent upon the completion of your references.

PERSONAL REFERENCE

Examples include a friend, family friend, coworker, etc. Must have known you for at least 2 years and be 18+

Personal Reference Full Name(Required)

Personal Reference Email(Required)

Personal Reference Phone(Required)

How long have you known your Personal Reference?(Required)

In what capacity do you know your Personal Reference?(Required)

VULNERABLE SECTOR REFERENCE

Please provide a reference from your past volunteer or work experience with an organization responsible for the well-being of vulnerable persons. This may include: children/youth under the age of 18, the elderly, and/or those with disabilities. If you have not had experience in the vulnerable sector, please provide an employment reference. Must be 18+

Vulnerable Sector or Employer Reference Full Name(Required)

Vulnerable Sector or Employer Reference Email(Required)

Vulnerable Sector or Employer Reference Phone(Required)

How long have you known your Vulnerable Sector or Employer Reference?(Required)

In what capacity do you know your Vulnerable Sector or Employer Reference?(Required)

FAMILY REFERENCE

Examples include parent/guardian, sibling, aunt, etc. Must have known you for at least 2 years and be 18+

Family Reference Full Name(Required)

Family Reference Email(Required)

Family Reference Phone(Required)

How long have you known your Family Reference?(Required)

In what capacity do you know your Family Reference?(Required)

SIGNIFICANT OTHER REFERENCE (IF APPLICABLE)

Any current relationship lasting 3 months or longer and/or a cohabiting relationship of any length of time must be noted here.

Significant Other Full Name

Significant Other Email

Significant Other Phone

How long have you known your Significant Other?

Please briefly describe the nature of your relationship

REFERENCE PAGE ATTESTATION

I hereby confirm that I am the individual for whom this application is being made. I further attest that the information provided here is true and complete to the best of my knowledge.(Required)

Yes

No

Signature(Required)

Email

This field is for validation purposes and should be left unchanged.

Post-Secondary Student Mentor Application

BBBSPY Post-Secondary Student Mentor Application Form (BOC & BYM)

This Form Will Take You Roughly 20-30 Minutes To Complete

Mentor Eligibility Criteria