Pumped for Post Secondary Mentor Application - Big Brothers Big Sisters of London and Area

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This program will run on Wednesdays, 3:30 pm – 5:30 pm, on Fanshawe Main Campus, starting in october 2025, through march 2026

Please ensure you are available at this time, when applying for the program. Thank you.

Name(Required)

First Last

Name you prefer to be called(Required)

Gender(Required)

Pronouns(Required)

He/Him

She/Her

They/Them

Other

Phone(Required)

Email(Required)

Are you a Fanshawe College student?(Required)

Yes

Address (Please include unit # or relevant info)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

MM slash DD slash YYYY

Ethnicity

Languages spoken in addition to English(Required)

Are you a licensed driver?(Required)

Yes – G

Yes – G1

Yes – G2

Do you have regular access to a vehicle?(Required)

Yes

Do you have at least $1,000,000 of automobile insurance coverage? (to drive a participant in our programs this is the minimum requirement).(Required)

Yes

Does not apply

How did you hear about Big Brothers Big Sisters of London and Area?(Required)

Name of person who referred you, if applicable

Are you anticipating any changes in your life over the next year? (for example, marital status, moving, job changes, kids, etc)(Required)

Yes

Comments

Family

Marital status(Required)

Partner's name if applicable

How does your partner feel about you volunteering with Big Brothers Big Sisters of London and Area?

Do you have children?(Required)

Yes

Number and ages of children

Employment

I am currently employed(Required)

Company

Position

Date of hire

MM slash DD slash YYYY

Average hours of work per week

Employment shifts

Days

Evenings

Nights

Rotating

Weekends

Other

Education History

Please list your education history(Required)

Name of school

Area of study

Date of completion

Graduated?

Are you currently a student?(Required)

Yes – full time

Yes – part time

If you are a student, are you located in London until April, June, or year-round?(Required)

Program Consideration Profile

When you consider your current schedule and commitments, when do you have time to mentor? Please indicate when you are available (for example: Weekdays after school; Thursday afternoons; Saturdays)(Required)

Volunteer Experience

Do you have experience working or volunteering with children?(Required)

Yes

If yes, please identify (organization, role, and length of time)

Have you ever applied to become a volunteer with any Big Brothers Big Sisters Agency?(Required)

Yes

If yes, where and when?

Please share any other volunteer experience you have had not listed above.(Required)

Other Information

Have you ever had any involvement with the police?(Required)

Yes

If yes, please give further details:

About Yourself

Tell us why you want to become a volunteer with Big Brothers Big Sisters of London & Area.(Required)

What personal strengths do you believe you have to offer?(Required)

How do you feel you will be able to impact the life of a young person enrolled in our programs?(Required)

Is there anything else you would like us to know about you?

By clicking Submit, I consent to the collection of this personal information in accordance with Big Brothers Big Sisters of London and Area’s Privacy and Confidentiality Policy.

Comments

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