Reference: Vulnerable Sector/Employment Reference Form

Big Brothers Big Sisters is an organization that enrols 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.

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Your Name*
Please enter the name of the applicant you are providing a reference for.*
Please specify if the applicant has worked with one or more of the following vulnerable populations within your business/organization:*
Select all that apply.
What is/was the role of the applicant with your business/organization?*
Do you have experience directly supervising or supporting the applicant in their role?*
Did the applicant take on more responsibility or additional roles as time passed?*
Did you know the applicant was applying to be a mentor?*
If No, please write N/A
Would you welcome the opportunity to work closely with this individual?
If Yes please write N/A
Can the applicant be counted on to follow through on the commitments they undertake?*
To your knowledge, has the applicant ever had any trouble following rules?*
If No, please write N/A
Are you aware of any complaints being made or disciplinary actions being taken against the applicant?*
If No, please write N/A
If you have not observed the applicant interacting with children please write N/A
If you have not observed the applicant interacting with other vulnerable populations please write N/A
Have you ever known the applicant to be inappropriate (emotionally, physically, verbally, sexually) with either adults or children?*
If No, please write N/A
Do you have any concerns about this person volunteering to spend time with a child/youth?*
If No, please write N/A
Would you recommend the applicant as a mentor for a child or youth?*
Please confirm your full name*
Personal Verification*
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.