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Who We Are
Board of Directors
Our Supporters
Big News
Contact Us
Ways to Give
Donate Now!
Building Futures
Monthly Giving
IGNITE! – Corporate Giving
Tribute Gifts
Leave a Gift In Your Will
Clothes for Kids’ Sake
Shop now on Thrive Select Thrift
Donate Shares and Securities
Holiday Hamper Program
Other Ways to Give
Get Involved
Refer a Mentee
Apply to be a mentor
BBBSO Alumni Club
Other Volunteer Opportunities
Career Opportunities
Events
BBBS Month
Move For Mentoring
Tamarack Ottawa Race Weekend
Orléans Pickleball Festival
Big Shout Out Awards
eQ Homes Big Tee Off
Big Possibilities
2024 Ottawa Dragon Boat Festival
Français
SHOP NOW ON Thrive Select Thrift
Start Application Process Now
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*
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7
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Please select your mentoring location
*
Ottawa
Renfrew County
Personal Information
* denotes that answers to these questions are mandatory
Program of Interest
*
In-School Mentoring
Big Brothers Mentoring Program
Big Sisters Mentoring Program
MPower Youth Mentoring Program
Meet You in School Mentoring Program
Program of Interest
*
In-School Mentoring
Legal Name
*
First
Last
Please Note: Your Legal name is required on this application. Please ensure you fill out your application using the name on your Driver’s License or Birth Certificate.
Preferred Name – If Applicable
First
Last
Gender
*
Male
Female
Transgendered
Other
Date of Birth (mm/dd/yyyy)
*
MM slash DD slash YYYY
Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Yukon
Province
Postal Code
Telephone
*
Cell
Home (N/A if none)
Business (N/A if none)
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Email
*
Enter Email
Confirm Email
Alternate Email
Language Preference
*
English
French
Other languages spoken:
If bilingual, would you be comfortable mentoring in French?
*
Yes
No
Marital Status
*
Single
Married
Dating
Divorced
Widowed
Common Law
Seperated
Partner/Spouse Name (If applicable)
Emergency Contact
*
Name
Relationship
Telephone
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What is your country of origin?
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Are you a visible minority?
*
Yes
No
What is your immigration status:
*
I am a Refugee
I am a Permanent Resident
I am a Canadian Citizen
How long have you been in Canada?
*
Less than 5 years
More than 5 years
Date of Arrival in Canada:
MM slash DD slash YYYY
Are you Indigenous?
*
Yes
No
Region/Community:
First Nations:
Métis:
Inuit:
Other (please specify):
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First Nations (please select all that apply):
Cree
Algonquin
Mi’kmaq
Ojibway
Other (please specify):
What prompted you to apply?
*
Always Known
Brochure
Business/Corporate
Television
Formerly a Little
Info Booth
Newspaper
Presentation
Radio
Social Media
Special Events
Website
Word of Mouth
Campus Recruitment
Other:
If other, please specify:
Would you be interested in helping with Fundraising events?
*
Yes
No
I would like to sign up for BBBSO’s Blog:
*
Yes
No
I would like to sign up for BBBSO’s Monthly Newsletter:
*
Yes
No
Vulnerable Sector Reference and Experience
NOTE: A vulnerable sector check is an enhanced criminal record for individuals who have volunteered with children or vulnerable persons.
Have you ever been, or applied to be, a volunteer with a Big Brother Big Sister agency in the past?
*
Yes
No
If yes, with which agency(ies) were you involved?
Please list any Bigs, Littles or Parents of Littles (or other volunteers or clients associated with BBBSO) whom you know.
We will contact all vulnerable sector agencies – please provide the following information:
Agency/Organization
When did you volunteer/work with this agency/organization?
For how long did you volunteer/work?
Contact Person:
Email
Telephone
Agency/Organization
When did you volunteer/work with this agency/organization?
For how long did you volunteer/work?
Contact Person:
Email
Telephone
Employment & Education
Employer
Occupation
Length of time in this position
If less than 5 years, your previous place of employment
Please indicate the highest level of education that you have completed:
Elementary School
Secondary School
Some College
College
Some University
University
Post-Graduate Certificate
Master’s
Ph.D
Other
If you are presently a student, where?
Grade/Level
References
Please complete all sections fully. Incomplete reference information may cause delays in processing your application. –Note: If you are involved in a relationship of significance (married, common-law, long-term partner/ boyfriend/ girlfriend) you must use this person as a reference. * denotes that answers to these questions are mandatory (if using that specific reference). PLEASE BE SURE TO INPUT A VALID EMAIL ADDRESS FOR EACH REFERENCE. We will only contact the necessary references, therefore not all references will be contacted.
Significant Other/Partner
*
Name
Relationship with you
Years Known
Add
Remove
Language Preference
*
English
French
Email
*
Telephone
*
*
I confirm that if I have a significant other at present time, I’ve provided them as the reference.
Volunteer Reference (or Employment Reference if no volunteer experience within the last 5 years)
Name
Relationship with you
Years Known (min 6 mths for Volunteer or min 1 year for Employment):
Add
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This is a:
Volunteer Reference
Employment Reference
Language Preference
English
French
Email
Telephone
*
I confirm that I’ve provided a Volunteer Reference or Employer Reference
Vulnerable Sector Reference
Name
Relationship with you
Years Known
Add
Remove
Language Preference
English
French
Email
Telephone
Personal Reference
*
Name
Relationship with you
Years Known (min 2 yrs):
Add
Remove
Language Preference
*
English
French
Email (N/A if none)
*
Telephone (N/A if none)
*
Family Reference
*
Name
Relationship with you
Years Known (min 2 yrs):
Add
Remove
Language Preference
*
English
French
Email (N/A if none)
*
Telephone (N/A if none)
*
By entering my full name and clicking Next:
*
I hereby attest that the information in this application is accurate to the best of my knowledge
Name
*
First
Last
Date
MM slash DD slash YYYY
VOLUNTEER PERMISSION AND RELEASE AGREEMENT
*
<strong>TO: Big Brothers Big Sisters of Ottawa (THE “AGENCY”) </strong> <br> The Agency and Big Brothers Big Sisters Canada (“<strong>BBBSC</strong>”) are separate entities and this Agreement is between me and the Agency. <ol> <li>By applying to volunteer with the Agency (“Volunteer Application”) and signing this Agreement, I acknowledge, understand and accept that:</li> </ol> (a) I am a legal resident of Canada and have reached the age of majority in the province or territory in which I reside. I acknowledge and agree that if I have not reached the age of majority of the province or territory in which I reside, my parent or legal guardian will also need to sign this Agreement in order for my Volunteer Application to be considered; (b) There is no obligation on the Agency to accept my Volunteer Application or assign me as a volunteer into a mentoring program (a “<strong>Mentoring Program</strong>”) and the Agency may terminate my involvement in a Mentoring Program in its sole discretion and without reason; (c) If I am accepted as a volunteer, my involvement in a Mentoring Program is not intended to create and shall not be construed as creating either an employee–employer relationship or a contract for services that would allow me to receive a salary, compensation, payment or any benefits, monetary or otherwise; and (d) If I am accepted into a Mentoring Program, I understand that I will be required to enter into a confidentiality agreement with the Agency, and I agree to abide by the volunteer position description(s) and code(s) of conduct established by the Agency, including any applicable guidelines, Standards and policies. <ol start="2"> <li><strong><u>Assumption of Risk, Release and Reimbursement</u></strong><strong>:</strong></li> </ol> I acknowledge, understand and accept that: (a) I am responsible for all risks associated with my involvement in a Mentoring Program including, without limitation, the risk of bodily or psychological harm or injury. (b) Subject to local laws, I agree not to sue the Agency, BBBSC and/or any of their member agencies in respect of any such injury or claim resulting from my participation in a Mentoring Program, my Volunteer Application, the acceptance or denial of my Volunteer Application, the Alumni Program and/or my association with the Agency or BBBSC. (c) I understand that I am fully responsible for any damage to my personal vehicle and/or property during my volunteer involvement in a Mentoring Program and that neither BBBSC nor the Agency insures personal vehicles or property belonging to its volunteers; (d) I agree to reimburse the Agency and/or BBBSC and/or any of their member agencies for any damages or losses of any kind (including but not limited to the injury of any other person and/or damage to or loss of property) that may arise in connection with my gross negligence, wilful misconduct, or failure to act in accordance with published BBSC policies and guidelines and relating to or arising in connection with my participation in a Mentoring Program or my association with the Agency or BBBSC, including payment of any and all legal expenses of the Agency, BBBSC and/or any of their member agencies. <ol start="3"> <li><strong><u>Background Check</u></strong>. I understand that my acceptance into the Mentoring Program will be conditional on my successful completion of a background check, which may include contacting the references included in my Volunteer Application and/or a criminal record check, for the purposes of confirming my suitability for the Mentoring Program. I agree to provide all necessary consents for such background checks.</li> </ol> <ol start="4"> <li><strong><u>Privacy Notice.</u></strong> The personal information provided by me or otherwise collected by the Agency in connection with my application will be used by the Agency for the purpose of evaluating and considering my Volunteer Application and, if accepted into a Mentoring Program, for the purpose of administering the Mentoring Program. This information may include my name, phone number, mailing address, date of birth, results of background check, and driver’s license and auto insurance information. My personal information will be maintained by the Agency on a confidential basis and will only be disclosed to the parent(s) and/or guardian(s) of a child with whom the Agency may consider “matching” me in a Mentoring Program, to representatives of a school or institution in connection with my participation in a site-based Mentoring Program, to the BBBSC as required for the purposes of accreditation reviews or legal proceedings and as otherwise required or permitted by law. In the event the Agency ceases operations, any and all information about me held by the Agency will be provided to BBBSC, another BBBSC agency selected by BBBSC, or both and will be used for the purposes set out above.</li> </ol> <ol start="5"> <li><strong><u>Other Terms of this Agreement. </u></strong></li> </ol> (a) In entering into this Agreement, I am not relying on any oral or written representations other than as set forth in this Agreement. (b) This Agreement shall be governed by and construed pursuant to the laws of the Province or Territory in which the Agency is located. <br> (c) In the event that any provision or term of this Agreement is held to be invalid, illegal or unenforceable, the remaining provisions of this Agreement shall remain in full force and effect. <ol start="6"> <li><strong><u>Media Consent.</u></strong> Any photographs or video productions taken of volunteers by agency staff at recreational events or match outings, or otherwise authorized by the Executive Director or Board of Directors, may be used by the agency for purposes of promotional material including brochures posters, newsletters, media information, advertisements, audio-visual productions and web pages, such as the Agency website and social media. Photographs or video productions may also be shared with community and school partners and Big Brothers Big Sisters of Canada for program promotion.</li> </ol> <div class="page" title="Page 7"> <div class="layoutArea"> <div class="column"> <strong>IMPORTANT:</strong> I acknowledge that I have read the terms of this Agreement, have been given an opportunity to obtain independent legal advice, and understand that it represents a waiver of certain of my legal rights, including my right to sue (subject to local laws). I further agree that such limits are reasonable and sign this Agreement freely, voluntarily and without duress. </div> </div> </div>
By ticking this check box:
I confirm that I agree with item #6 of Media Consent.
By entering my full name and clicking Submit:
*
I hereby confirm that I have completely read, fully understand and agree with the statements outlined in the Volunteer Permission and Release Agreement.
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*
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Last
Date
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