Recommander un partenaire ou une personne significative

Significant Other/Partner Reference

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Provided for (Volunteer Name):*

Email (Volunteer Email):*

Provided by (Your Name):*

Email (Your Email):*

Phone (Your Phone):*

How long have you known your partner?*

Did you know your partner was applying to be a mentor?*

What is your reaction?

Please explain.

Do you have any concern about whether or not this is an appropriate volunteer role for your partner?*

Yes

Please explain.

Are you supportive of your partner’s application to become a mentor with Big Brothers Big Sisters?*

How much free time does your partner have each week to commit to volunteering?*

What personal strengths do you feel your partner has to offer?*

Can you tell me about your partner’s community involvement?*

Can you tell me about your partner’s personal interests?*

7. Based on your knowledge of who your partner has in his/her life, to whom would he/she be most likely to turn, or be most responsive to, for support or guidance?*

Can your partner be counted on to follow through on their commitments?*

Please Explain:

Have you witnessed your partner interacting with children/youth?

Yes

How does the applicant ensure the safety and well-being of young people under their supervision?*

Have you ever known your partner to be inappropriate (emotionally, physically, verbally, sexually) with either adults or children/youth?*

Please explain:

To your knowledge, has your partner ever had any trouble following rules/instructions?*

Please explain.

Are you aware of any complaints being made or disciplinary actions being taken against your partner?*

Please explain.

Are you aware of anything that may interfere with your partner’s ability to participate in programming, or that would cause their volunteer commitment to end?*

Please explain.

Has your partner experienced a substance use or physical or mental health concern that may impact their ability to participate actively as a volunteer mentor?*

Please explain.

Have you had the opportunity to see your partner’s home environment (applicable for community-based programs)?*

Please describe your partner’s home environment and neighbourhood, and list any concerns you may have regarding a child/youth visiting the home.

Would you allow your partner to develop a one-to-one relationship with your child/youth or a young person you care about?

Yes

Please explain.

Would you recommend your partner as a mentor for a young person?*

Is there anything you would like to add that would aid us in our decision?

By clicking this box:*

I understand and agree to the above statements.

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