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Big Brothers Big Sisters Volunteer Inquiry Please fill out the form below. |
| First Name |
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| Last Name |
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| Address |
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| State |
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| Zip Code |
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| Home phone |
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| Cell or Pager number |
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| Work phone |
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| May we call you at work? |
yes no |
| Email |
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| Occupation |
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| County of Residence |
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| How Long have you lived here? |
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| Ethnicity |
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| Gender |
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| Age |
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| We ask volunteers and children to commit to BBBS for a minimum of 1 year, and we ask that you get together with your LB/LS 3-4 times per month. Do you feel that you can make this commitment?yes no |
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| In the last 2 years have you had a DUI or 3 moving violations?yes no |
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| Do you have access to a car with liability insurance? yes no |
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| How did you hear about the BBBS program? |
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