Volunteer Reference - Big Brothers Big Sisters of Ottawa

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Volunteer Reference

Vulnerable Sector – Employment – Volunteer Reference

"*" indicates required fields

Phone

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

Provided for (Volunteer Name):*

Email (Volunteer Email):*

Provided by (Your Name):*

Email (Your Email):*

Phone (Your Phone):*

How long have you known the applicant?*

In what capacity?*

What is/was the role of the applicant with your business/organization?*

Employee

Volunteer

Student Placement

Name of business/organization:*

Do you have experience directly supervising or supporting the applicant in their role?*

Yes

No

Please explain.

Have you witnessed the applicant interacting with children/youth?*

Yes

No

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

Have you witnessed the applicant interacting with a vulnerable population other than children or youth?*

Yes

No

Please specify the population and describe how the applicant interacts with them.

How long did the applicant volunteer or work for your business/organization?*

Did the applicant take on additional roles and/or responsibilities during their involvement?*

Yes

No

Please explain.

How does/did the applicant engage with or respond when provided with support, training, and/or feedback?*

(If applicable) Why did the applicant resign?

Did you know the applicant was applying to be a mentor?*

Yes

No

What is your reaction?

Please explain.

Do you have any concern about whether this is an appropriate volunteer role for this individual?*

Yes

No

Please explain.

What personal strengths do you feel the applicant has to offer in their role as a mentor?*

Can the applicant be counted on to follow through on their commitments?*

Yes

No

Please explain.

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

Yes

No

Please explain.

Are you aware of any complaints being made or disciplinary actions being taken against the applicant?*

Yes

No

Please explain.

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

Yes

No

Please explain.

Would you recommend the applicant as a mentor for young people?*

Yes

No

Would you welcome the opportunity to work closely with this individual?*

Yes

No

Please explain.

Do you have any concerns about this person volunteering to spend time with a child/youth?*

Yes

No

Please explain.

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.

Name*

First Last

Date*

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Big Brothers Big Sisters of Ottawa
1645 Woodroffe Avenue, Suite 12
Ottawa, ON, K2G 1W2

Email: enrol@bbbso.ca
Phone: 613-247-4776
Fax: 613-247-2240

Charity Registration Number 10679 4431 RR0001