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Reference form for Personal Reference - Big Brothers Big Sisters of Central and Southern Interior of BC
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Reference form for Personal Reference

Reference - Personal

Big Brothers Big Sisters is an organization that enrolls volunteer mentors to provide a healthy role model to children and youth in our community. Volunteer mentors must provide a stable, positive influence over the period of their commitment, which is usually a school or calendar year. Many of the resilient children and youth in our programs have experienced challenges in their lives; relying on the consistent presence of a mentor makes a difference in their lives, likewise ending this important relationship sooner than expected can have a detrimental effect on the young person. Help us Start Something for our community’s youth by providing a reference that, to the best of your knowledge, is an honest reflection of the applicant and their ability to be a positive influence in the life of a child.

Your responses will remain confidential. Thank you.


FULL NAME

FULL NAME

2. Did you know the applicant was applying to be a mentor?(Required)
7. Can the applicant be counted on to follow through on the commitments they undertake?(Required)
9. Have you ever known the applicant to be inappropriate (emotionally, physically, verbally, sexually) with either adults or children?(Required)
10. To your knowledge, has the applicant ever had any trouble following rules?(Required)
11. Is there anything that you are aware of that may interfere with the applicant’s ability to mentor or that would cause their commitment to our organization to come to an end?(Required)
12. Has the applicant experienced an addiction, health or emotional concern that may impact their ability to participate actively in a match?(Required)
13. Would anything need to change in the applicant’s home environment to be suitable for a child’s visit?(Required)
14. Would you allow the applicant to develop a one-to-one relationship with your child or a child you care about?(Required)
15. Would you recommend the applicant as a mentor for a child or youth?(Required)
This field is for validation purposes and should be left unchanged.
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Volunteering & Programs: central.southern.interior@bigbrothersbigsisters.ca Donations: renewcrew.reception@bigbrothersbigsisters.ca Executive Director: helen.brownrigg@bigbrothersbigsisters.ca
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© 2025, Big Brothers Big Sisters of Central & Southern Interior of BC

Charitable Business Number: 11880 8831 RR0001

Start Something™ Reg. CIPO Big Brothers Big Sisters of Canada.
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