Teacher Candidate 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 currently enrolled in the Faculty of Education at York University

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.

Post-Secondary Student Mentor Application

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 have been enrolled in:(Required)

In-School Mentoring+

BCAC In-School Mentoring+ (open to members of the Black Community)

Big Possibilities

Conversation Club

Teen Mentoring

School-Based Group Mentoring

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)

Big Brothers Big Sisters of Peel York is an equal opportunity employer and is committed to creating a working environment inclusive of the diverse population it serves. If you require any accommodations in order to have a fulfilling and successful placement opportunity, please provide details here.

RELEVANT EXPERIENCE

Have you had any volunteer or work experience with children and youth?(Required)

Yes

No

If Yes, please list and describe this experience including the name of the organization(s), the title of your role, what it involved and when it occurred.

Have you ever been, or applied to be, a volunteer or Placement Student with a Big Brothers Big Sisters agency in the past?(Required)

Yes

No

AVAILABILITY

Please provide details on your availability here

APPLICATION 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)

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