BigSisterVolunteerApplication

ApplicationInstructions:
Pleasesavethisdocumenttoyourcomputer,filloutthe
applicationformandemailyourcompletedapplicationto
info@bigsisters.bc.ca.Questions?Call604.873.4525ext300.

34East12thAvenue,Vancouver,BCV5T2G5
P:604.873.4525F:604.873.2122www.bigsisters.bc.ca

DearBigSisterapplicant,

ThankyouforyourinterestinvolunteeringasaBigSistermentor!InthispackageyouwillfindyourBig
SisterapplicationformandinstructionsonhowtocompleteyourCriminalRecordCheck.

TheBig&LittleSisterProgrammatchesLowerMainlandgirls(ages717)withavolunteerBigSisterina
onetoonementoringrelationship.Foraminimumofoneyear,eachBig&LittleSistermatchmeetsonce
aweekfor35hours.Matchesenjoydoingawidevarietyoffreeandlowcostactivitiestogetherincluding
crafts,sports,movies,andjusthangingoutandtalking!

The girls referred to the our program come from diverse backgrounds which can include challenging
situationssuchaspoverty,abuse,fostercare,lossofalovedone,recentimmigration,andothers.Havinga
BigSistertolistentothemandspendfun,qualitytimewiththemcanhaveatremendouslypositiveimpact
ontheselfesteemofthesespecialgirls.

Beforeyoufilloutthisapplication,pleasemakesuremeetthecriteriatobeaBigSister.YES,Iam:
Atleast19yearsofage;
AbletocommittoseeingmyLittleSisterfor35hoursaweekforaminimumofoneyear;
Mature,stable,reliable,andrespectfulandacceptingofothers;
ALowerMainlandresidentwhohaslivedinCanadaforatleastoneyear(orcanobtainan
InternationalCriminalRecordCheckfrommymostrecentcountryofresidence);
Abletohavefunandbeapositivesupporttoayounggirl!

PleasefillouttheenclosedapplicationformandreturnittoBigSistersbyemail,fax,mailorinperson.
Please also initiateyourCriminalRecordCheck assoonaspossibleas it can take some time before
youreceivetheresults.Oncewereceiveyourapplicationwewillcontactyoutoscheduleyourtraining
sessionandscreeninginterview.Youwillhaveamaximumof3monthstocompletetheremainderofthe
applicationsteps(CriminalRecordCheck,references,trainingandinterview).

Whatnext?OncewevereviewedyourapplicationandCriminalRecordCheck,checkedyourreferences,
andyouveattendedaninterviewandtrainingsession,wewilldetermineyouracceptanceandnotifyyou
(acceptanceisatthesolediscretionoftheboardandstaffofBigSistersofBCLowerMainland).Onceyou
areaccepted,wewillstartlookingforasuitableLittleSisterforyou,lookingatavarietyoffactorssuchas
where you live, your interests, and the needs of the girls on our waiting list. We work hard to find a
compatiblematchforeachBigSisterandsometimesthatcantakesometimebutitllbeworththewait!

ThankyousomuchforyourinterestinbecomingaBigSisterwelookforwardtomeetingyou!

Sincerely,
BigSistersofBCLowerMainland

P.S.Needmoreinfo?Contactusat604.873.4525ext.300orinfo@bigsisters.bc.ca.

P.P.S.Checkoutourblogathttp://bigsistersofbclowermainland.blogspot.com/forinspiringstories
fromourBig&LittleSisters!

BigSisterVolunteerApplication(Apr2011)1

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

PHOTO

BigSisterVolunteerApplication

Emailusadigitalphotoofyourself
alongwithyourcompletedapplication
orbringphotoIDwithyouto
yourscreeninginterview.

Theinformationyouprovideonthisformwillbemaintainedasaconfidential,securerecord.

YES,IhavereadtheBIGIntropresentationforpotentialBigSistersontheBigSisterswebsite(view
presentationathttps://docs.google.com/present/view?id=dc7s253v_33hp97t4ck)

FullName______________________________________________________________________________________Age_____________________
Street______________________________________________________________________City_________________________________________
PostalCode______________________HomeTel.__________________________________Cell___________________________________
Email________________________________________________AlternateEmail___________________________________________________
DateofBirth____________________________________________BirthPlace____________________________________________________
Lengthoftimeatpresenthomeaddress_________________________________________________________________________________
Previousaddressesiflessthan2yearsatpresentaddress:

Employment
PlaceofEmployment_______________________________________________________________________________________________________
EmployersAddress_________________________________________________________Tel.____________________________ext_______
WorkHours_________________________________________________Isitconvenienttophoneyouatwork?YesNo
JobTitle______________________________________________________Lengthoftimeatpresentjob___________________________
Previousjobsandlengthofstayateachjob:

YourEthnicBackground(PutaYbesideallthatapply.Optionalquestionforstatisticalpurposesonly.)
_____Aboriginal

_____EasternEuropean
_____Japanese

_____SouthEastAsian

_____Black

_____LatinAmerican
_____Filipino
_____Other

_____Caucasian
_____MiddleEastern
_____Korean

_____WesternEuropean
_____Chinese
_____SouthAsian

EmergencyContactInformation
FullName__________________________________________________RelationshiptoYou_______________________________________
Tel._________________________________________________________Cell_________________________________________________________
DoyouprefertoreceivethesemiannualBigSistersnewsletter,BetweenFriends,byMailEmail(PDF)
BigSisterVolunteerApplication(Apr2011)2

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

Firstlanguage_____________________________Otherlanguages(incl.signlanguage)________________________________________
MaritalStatus:SingleMarriedDivorcedWidowedSeparated

CommonLaw

Sexandage(s)ofchildren,ifany:_________________________________________________________________________________________
Withwhomdoyoushareyourlivingunit?(Yourliveinspouse/partnerwillberequiredtoundergoaCriminal
RecordCheckbeforeyouareacceptedasaBigSister.Wealsoaskthatyouinformusifanyoneelseyoulivewith
hasacriminalrecord.Thepresenceofsomeoneinyourhouseholdwithacriminalrecorddoesnotautomatically
disqualifyyoufrombecomingaBigSister,dependinguponthenatureoftheoffense(s).)

Name_________________________________________Age___________Relationship__________________________________________
Name_________________________________________Age___________Relationship__________________________________________
Name_________________________________________Age___________Relationship__________________________________________
Name_________________________________________Age___________Relationship__________________________________________
Doesanyoneinyourhomeownfirearms?YesNoIfyes,howaretheystored?
________________________________________________________________________________________________________________________________
HowdidyouhearaboutBigSisters?(Checkallthatapply)
TV
TransitAd
ArticleinNewspaper/Magazine
Presentation VolunteerWebsite/CentreVolunteerFair
WordofMouth SocialMedia
PrintAd
Radio Other

Specifyifpossible(i.e.TheBeat,Facebook,GoVolunteer,etc)__________________________________________________________

WhatqualitiesdoyoufeelyouhavetoofferaLittleSister?

Commentonyourpastandpresenthealth(physical,emotionalandmental):

Whatexperienceshaveyouhadwithchildren/youth?HaveyouappliedtobeaBigSisterbeforeorhaveyou
volunteeredwithanotheryouthservingagencybefore?Ifso,whenandwhere?

BigSisterVolunteerApplication(Apr2011)3

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

Describetheexperiencesyouhavehadwithpeopleofdifferentcultures,religionsandsexualorientations.

Whatareyourbeliefsaboutchildren/childhood?

EducationCompleted/InProgress:
HighSchool_______________________________________________________________________________________________________________
CollegeorUniversity_____________________________________________________________________________________________________
TradeorTechnicalSchool_______________________________________________________________________________________________
Other______________________________________________________________________________________________________________________

Thetimecommitmentwerequireis35hours/weekforoneyear.Doyoufeelyoucaneasilymanagethiswith
yourscheduleandfutureplans?

Doyouanticipateanychangeinresidence,education,employment,health,ordomesticstatusinthenexttwo
years?YesNoIfyes,pleaseexplain

ValuesandTriggers

We encourage you to take some time to identify and evaluate your personal values and corresponding
triggers and then discuss them with the Big Sisters Counsellor during your interview so she can take this
informationintoconsiderationwhenmatchingyouwithaLittleSister.

Value:Astandardorprinciplethatisregardedasdesirableorworthwhile.
Trigger:Tosetoff,initiateoractuate.Astimulusthattriggersareflex.
EXAMPLE:Janevaluespunctuality.Sheisalwaysontimeforwork,appointmentsandvisitswithfriends
andfamily.Janeistriggeredwhenhercoworkerwalksin15minuteslateforameeting.

Doyouhaveanystrongvaluesortriggersthatweshouldknowaboutbeforematchingyouwithachild?

BigSisterVolunteerApplication(Apr2011)4

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

References

Please provide the names, full addresses (including postal codes), phone numbers, and email addresses of 3
peoplewhohaveknownyouforatleast2YEARSand who will complete written reference forms for you.
Youneedtoprovideoneprofessionalreference,onefriendreference,andonefamilymemberreference.
Spouses,partners,fellowapplicants,andcurrentroommatesareNOTappropriatereferences.Pleasecontact
yourreferencestoinformthemthatBigSisterswillbecontactingthemviaemail(ifprovided)toprovidearef
erenceforyouandthattheirreferenceisrequiredpromptlysowecanproceedwithyourapplication.

PROFESSIONALWORKREFERENCE(Pastorcurrentemployer,coworker,teacher,orvolunteersupervisor)
FullName___________________________________________________________________________________________________________________
Street________________________________________________________________________________________________________________________
City_________________________________________________________PostalCode________________________________________________
HomeTel.__________________________________________________WorkTel.__________________________________________________
CellularTel.________________________________________________Fax__________________________________________________________
Email_______________________________________________________Occupation_________________________________________________
Relationship_______________________________________________Howlongyouveknownthisperson_____________________

FRIENDREFERENCE
FullName___________________________________________________________________________________________________________________
Street________________________________________________________________________________________________________________________
City_________________________________________________________PostalCode________________________________________________
HomeTel.__________________________________________________WorkTel.__________________________________________________
CellularTel.________________________________________________Fax__________________________________________________________
Email_______________________________________________________Occupation_________________________________________________
Relationship_______________________________________________Howlongyouveknownthisperson_____________________

FAMILYMEMBERREFERENCE
FullName___________________________________________________________________________________________________________________
Street________________________________________________________________________________________________________________________
City_________________________________________________________PostalCode________________________________________________
HomeTel.__________________________________________________WorkTel.__________________________________________________
CellularTel.________________________________________________Fax__________________________________________________________
Email_______________________________________________________Occupation_________________________________________________
Relationship_______________________________________________Howlongyouveknownthisperson_____________________

YES,Ihaveknownthese3peopleforatleast2years.
YES,Ihaveletthese3peopleknowthattheywillbecontactedbyBigSistersforareferencecheck.
BigSisterVolunteerApplication(Apr2011)5

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

ActivitiesChecklist

Isyourenergylevel:HighMediumLow
Areyouan:OutdoorspersonIndoorspersonBoth

Wouldyouenjoy:

Yes/No/Maybe

Comments(ifany)

(TypeY,N,orMforeachactivity)

Swimming

___________(Y/N/M)

_______________________________________________________

ParksandPlaygrounds

___________(Y/N/M)

_______________________________________________________

Hiking/Walking

___________(Y/N/M)

_______________________________________________________

Bicycling

___________(Y/N/M)

_______________________________________________________

RollerSkating/Blading

___________(Y/N/M)

_______________________________________________________

IceSkating

___________(Y/N/M)

_______________________________________________________

Bowling

___________(Y/N/M)

_______________________________________________________

Arts&Crafts

___________(Y/N/M)

_______________________________________________________

Sewing/Needlework/Quilting ___________(Y/N/M)

_______________________________________________________

Cards/BoardGames

___________(Y/N/M)

_______________________________________________________

Cooking/Baking

___________(Y/N/M)

_______________________________________________________

Movies

___________(Y/N/M)

_______________________________________________________

Museums/Galleries

___________(Y/N/M)

_______________________________________________________

Music

___________(Y/N/M)

_______________________________________________________

Shopping

___________(Y/N/M)

_______________________________________________________

CulturalActivities

___________(Y/N/M)

_______________________________________________________

Animals

___________(Y/N/M)

_______________________________________________________

VolunteeringTogether

___________(Y/N/M)

_______________________________________________________

WinterSports

___________(Y/N/M)

_______________________________________________________

Sports(pleasespecify)

___________(Y/N/M)

_______________________________________________________

Otherinterests/hobbies:

Doyouhavepets?YesNoIfyes,whatkind?_________________________________________________________________

BigSisterVolunteerApplication(Apr2011)6

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TypeofLittleSister

Agerangepreference(717)______________________________________

Knowledge/ExperienceWith
Areyouopentobeingmatched Yes/No/Maybe
(TypeY,N,orMforeach Pleasecommentbrieflyifyouhaveknowledgeoforexperience
withaLittleSisterwith:
linebelow)

Behaviourchallenges

indealingwithanyofthethingslistedbelow.

___________(Y/N/M)

___________________________________________________________

AttentionDeficitDisorder(ADD/ADHD)___________(Y/N/M)

___________________________________________________________

FetalAlcoholSyndrome(FAS/FAE)

___________(Y/N/M)

___________________________________________________________

AngerIssues

___________(Y/N/M)

___________________________________________________________

Demanding

___________(Y/N/M)

___________________________________________________________

Othercultures/races

___________(Y/N/M)

___________________________________________________________

Otherreligions

___________(Y/N/M)

___________________________________________________________

Chatty/energetic

___________(Y/N/M)

___________________________________________________________

Shy/withdrawn

___________(Y/N/M)

___________________________________________________________

Lowselfesteem

___________(Y/N/M)

___________________________________________________________

Clingy/needy

___________(Y/N/M)

___________________________________________________________

Poorbodyimage

___________(Y/N/M)

___________________________________________________________

Hygieneissues

___________(Y/N/M)

___________________________________________________________

Lackofmanners

___________(Y/N/M)

___________________________________________________________

Weightissues

___________(Y/N/M)

___________________________________________________________

Allergies/asthma

___________(Y/N/M)

___________________________________________________________

Learningdisabilities

___________(Y/N/M)

___________________________________________________________

Physicaldisabilities

___________(Y/N/M)

___________________________________________________________

Developmentaldisabilities

___________(Y/N/M)

___________________________________________________________

Physicallyabused

___________(Y/N/M)

___________________________________________________________

___________(Y/N/M)

___________________________________________________________

Smoking

___________(Y/N/M)

___________________________________________________________

Lesbian/questioning

___________(Y/N/M)

___________________________________________________________

Mentalhealthissues

___________(Y/N/M)

___________________________________________________________

HIV/AIDS

___________(Y/N/M)

___________________________________________________________

Fostercare

___________(Y/N/M)

___________________________________________________________

Depressedparent

___________(Y/N/M)

___________________________________________________________

Untidyhome

___________(Y/N/M)

___________________________________________________________

Drug/alcoholabuse

___________(Y/N/M)

___________________________________________________________

Overinvolvedparent

___________(Y/N/M)

___________________________________________________________

Frequentparent/childconflict

___________(Y/N/M)

___________________________________________________________

Lesbian/gayparent

___________(Y/N/M)

___________________________________________________________

Socialassistance

___________(Y/N/M)

___________________________________________________________

Terminal/chronicillness

___________(Y/N/M)

___________________________________________________________

Sexuallyabused

BigSisterVolunteerApplication(Apr2011)7

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LocationofLittleSister&OtherInfo

Pleaserank,inorderofpreference,allofthelocationsyouwouldbecomfortabletravellingtoandfromwhen
meetingwithyourLittleSistereachweek.

_____Tsawsassen

_____Delta

_____Surrey

_____Richmond
_____Coquitlam

_____Ladner

_____Cloverdale

_____SouthSurrey

_____Burnaby

_____NewWestminster

_____Vancouver

_____NorthVancouver _____WestVancouver

_____PortMoody

_____PortCoquitlam

Doyoudriveandhaveacaravailabletoyou?YesNo

Doesthecarhaveapassengersideairbag?YesNo

Howmuchtimeareyouwillingtotravelfor?____________________________________________________________________________

Haveyoueverbeenchargedwithanydriverviolations?YesNoIfyes,pleaseexplain:

NOTE:AllvolunteermentorswhotransporttheirLittleSistersintheirvehiclesmusthavecurrent,validinsurance
on their personal vehicle. Big Sisters encourages (but does not require) all volunteers who drive with their
menteestocarry$3,000,000liabilitycoverage.

Haveyoueverbeenchargedand/orconvictedofacriminaloffence?YesNoIfyes,pleaseexplain:

Isthereanythingelseyouthinkweshouldbeawareofinlookingforagoodmatchforyou?

BigSisterVolunteerApplication(Apr2011)8

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HypotheticalScenarios

BelowarethreecommonsituationsthatcouldcomeupduringyourtimeasaBigSister.Pleasereadeach
onecarefullyandconsideryourcomfortlevelwitheachandthenrespondtothequestions.

Scenario#1

ChristineisaLittleSisterwhohasmanyfriendsatschool;shedoeswellacademicallyandiswelllikedbyher
teachers. Christines favorite thing to do is to play soccer on Saturday mornings. She also goes to choir on
TuesdaynightsandswimmingonThursdays.Ontheotherdays,Christineplaysthelatestvideogamesathome
andgoesforbikerides.Christinesmom,Kelly,worksmanylonghoursandmakespersonalsacrificestogive
Christineopportunitiestobearegularkid.WhatKellywouldlikemorethananythingisforChristineistohave
acaringandresponsibleadulttobeafriendtoChristine,spendtimewitherherandbearolemodeltoher.

Whataspectsofthissituationareyoucomfortablewithandwhy?

Whataspectsofthissituationdidyoufinddifficultandwhy?

WouldyouliketobetheBigSistermatchedwiththeLittleSisterinthissituation?Pleaseexplain.

Scenario#2

LittleSisterKimandBigSisterHeatherhavebeenmatchedfor13months.Thingshavebeengoingfine,butBig
SisterHeatherisbeginningtohavesomeconcerns.Shesays thatKimhastoomuchfreedominherlifeand
expectstogetwhatevershewants.Kimusuallyinsistsonplanningtheiroutingstogetherandisnotalways
willing to participate in Heathers suggestions. She rarely says thank you to Heather after their outings and
evencriticizedthegiftHeatherboughtherforherbirthday.KimisreluctanttoscheduleoutingswithHeather
in advance, preferring to call Heather on the spur of the moment and is often upset when Heather cannot
accommodateherrequestforalastminuteouting.ShehasbeguntocallHeatheralmosteverydaytotalk,and
sometimesphonesaslateas11:30pm.

Howwouldyouhandlethissituation?

Whataspectsofthissituationareyoucomfortablewithandwhy?

BigSisterVolunteerApplication(Apr2011)9

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

Whataboutthissituationdidyoufinddifficultandwhy?

WouldyouliketobetheBigSistermatchedwiththeLittleSisterinthissituation?Pleaseexplain.

Scenario#3
Mandyisanoutgoing,intomischieftypeof10yearold.ShelivesinaroughneighborhoodwithherMom
andthreebrothers.ShehasbeenmatchedwithherBigSister,Sophia,forsixmonths.Theyhavefuncollecting
bugs,goingtotheparkorjusthangingoutatSophiashouse.MandylovesgoingtoSophiashouseasitisa
breakfromthemessandchaosofherownhome.SophiapickedupMandyafterworkonedayandtheywentto
Sophiashousefordinner.Afterdinner,theywenttothevideostoretorentamovieand,onthewaytothe
videostore,Mandyaskedtostopatthestorewhereshepurchasedacanofcatfoodandsomelicorice,paying
with a handful of quarters. Later, after Mandy had been dropped off at home, Sophia notices that all of her
quartersaremissingfromherchangejar.

Howwouldyouhandlethissituation?

Whataspectsofthissituationareyoucomfortablewith,andwhy?

Whataboutthissituationdidyoufinddifficult,andwhy?

Notes/Questions
RecordanyquestionsorcommentsyouwouldliketodiscusswiththeBigSistersCounsellorduringyourscreeninginterview.

BigSisterVolunteerApplication(Apr2011)10

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MediaConsent

Photos and audio/video recordings of Big & Little Sisters are occasionally used to help us publicize and
promote the work of Big Sisters of BC Lower Mainland. This may include use of photos, audio/video
recordings,andnamesinnewspapers/magazines,onradio/television,ontheBigSisterswebsite,newsletter,
andsocialmedia,andinotheragencymaterials.Pleaseindicatewhetherornotyougiveconsentineachofthe
threesectionsbelow:

Igiveconsentforphotosandaudio/videorecordingsofmetobetakenandusedtopublicizethe
workofBigSisters.YesNo

IgiveconsentformynametobeusedtopublicizetheworkofBigSisters.YesNo

IgiveconsentformynametobelistedintheMatchAnniversariescolumnintheBigSisters
newsletter.YesNo

IfIamgivingconsenttoBigSistersofBCLowerMainland(asindicatedabove)tousemyname,photographs,
and/oraudioorvideorecordingsofmyselfastakenorproducedbymediapersonneland/orAgencyMembers
and/orAgencyStaffforthepurposeofpublicizingandpromotingtheworkoftheAgency,Iwaiveanyclaim
which I mayhave against Big Sisters of BC Lower Mainland arising from the use of such photographs, audio
and/orvideorecordingsofmyself,asaforesaid.Thisconsentandwaivershallremainineffectfortheduration
ofmyinvolvementwithBigSistersofBCLowerMainlandunlessotherwiserevoked.Iunderstandthatitismy
responsibilitytonotifytheofficeifthestatusofthisconsentchanges.

PermissionandReleaseForm

I hereby authorize Big Sisters of BC Lower Mainland to contact any or all of the references herein for the
purposes of processing my application to become a volunteer with Big Sisters of BC Lower Mainland. I
understandthatthesereferenceswillbecontactedinconfidence.

I further authorize any individuals, firms, corporations, government or other regulatory departments, and
PoliceDepartmentorotherorganizationtoreleaseinformationandcopiesofdocumentspertainingtomyself
to Big Sisters of BC Lower Mainland in order to consider my application to volunteer with Big Sisters of BC
LowerMainland,ontheunderstandingthatsuchinformationwillbeheldinstrictconfidence.

IgivepermissiontoBigSistersofBCLowerMainlandtoreleasepertinentinformationregardingmyfiletothe
parent/guardianofthechildintheprocessofmatchselection.Further,Iagreetoallowmyfiletobeviewedby
an Agency Reviewer from Big Brothers Big Sisters of Canada, at the time of an agency review, should it be
requested. I further grant Big Sisters of BC Lower Mainland permission to release my name, date of birth,
address, volunteer position applied for, and notice of acceptance or rejection to Big Brothers Big Sisters of
Canada.IunderstandthatthisapplicationandsubsequentinformationinmyfileisthepropertyofBigSisters
ofBCLowerMainland.

IunderstandthisapplicationandsubsequentinformationinmylifeisthepropertyofBigSistersofBCLower
Mainland. I understand that if Big Sisters of BC Lower Mainland should cease operation, my complete file
becomesthepropertyofBigBrothersBigSistersofCanada.Iunderstandthattheinformationinmyfilewillbe
retainedbyBigBrothersBigSistersofCanadaforaperiodending75yearsafterthecloseofmyfinalmatch.

Iacknowledgeandacceptthatthisapplicationdoesnotguaranteeacceptanceintotheprogram,andthatBig
SistersofBCLowerMainlandisundernoobligationtoacceptorassignmeasavolunteer,andisnotobligedto
provideareason.

BigSisterVolunteerApplication(Apr2011)11

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If I am matched, I understand that I am solely responsible for the care of, and will supervise, the child with
whomIammatchedduringoutingsandactivities.

IherebyreleaseandforeverdischargeBigSistersofBCLowerMainland,andtheiremployees,directorsand
volunteersfromanycauseofactionorclaimfordamages,whetherbodilyinjury,death,propertydamage,or
emotionaltrauma,anxietyordistressarisingfrommyassociationwithBigSistersofBCLowerMainland.

I understand and consent to the implications of this Permission & Release waiver*. By typing my
nameinthelinebelowIamconfirmingthatthiswaiverismadeofmyownfreewillandwithoutdu
ressandthattheinformationIhaveprovidedinthisentireapplicationformisaccurateandtrueto
thebestofmyknowledge.

PrintedName:______________________________________________________Date:_________________________________________

SignatureofApplicant:___________________________________________(attachdigitalsignatureifyouhaveone)

*IfyouhaveanyquestionsaboutthisPermissionandReleaseForm,youmaywaittosignthisformuntilyouattendyour
screeninginterviewatBigSisters,atwhichtimeyoucanaskanyquestionsthatyouhaveaboutthiswaiver.

Release to share information with individuals outside of Big Brothers Big Sisters will expire within one year of the
abovedate.

Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca

Applicationscanalsobesentbymailorfax:

BigSistersofBCLowerMainland
34East12thAvenue,Vancouver,BCV5T2G5
Fax:6048732122

Questions?
Callusat6048734525ext.300oremailinfo@bigsisters.bc.ca

BigSisterVolunteerApplication(Apr2011)12

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**PRINTTHISPAGEANDTAKEWITHYOUTOYOURLOCALPOLICE/RCMPSTATION**

CriminalRecordCheckInformationforBigSisterApplicants

AllBigSistervolunteerapplicantsmustobtainaCanadianCriminalRecordCheck(includingavulnerable
sectorscheck)throughtheirlocalpolice/RCMPdetachment.Anyliveinpartners/spousesofapplicants
mustalsoobtainaCriminalRecordCheck.

ApplicantsmusthavelivedinCanadaforatleastoneyearbeforetheycanapplytobeavolunteermentor
withBigSistersofBCLowerMainland.ForthosethathavelivedinCanadalessthanoneyearbutwould
still like to apply as a volunteer now, they must initiate an International Criminal Records Check from
theirmostrecentcountryofresidenceandprovideittoBigSistersalongwiththeirvolunteerapplication.
IfanapplicanthaslivedinCanadabetween12years,BigSistersofBCLowerMainlandmayalsorequire
anInternationalCriminalRecordsCheckattheAgencysdiscretion.Thesameparametersapplytolivein
partnersofapplicantswhohavelivedinCanadalessthanoneyear.

1. ToobtainaCanadianCriminalRecordCheck(includingavulnerablesectorscheck),each
volunteerapplicant(andtheirpartner/spouse,ifapplicable)mustappearinpersonatthe
Police/RCMPdetachmentintheircity/municipalityofresidencewiththeattachedCriminal
Record Check Fee Letter provided by Big Sisters of BC Lower Mainland. See attached
Police/RCMPDetachmentslistforyourdetachmentslocationandhours.
2. Bringproperpersonalidentificationwithasignatureonitandatleastonepieceofphoto
identification.SeeattachedPolice/RCMPDetachmentslistforexactIDrequirements.
3. On the consent to disclose personal information section of the Criminal Record Check
formthatyouwillfilloutatthePolice/RCMPdetachment,identifythecontactpersonas:
Jordana Mullard, Manager of Programs & Services, Big Sisters of BC Lower Mainland, 34
East12thAvenue,Vancouver,BCV5T2G5.
4. CriminalRecordChecksarefreeforBigSistervolunteerswiththeexceptionofVancouver
($27), West Vancouver ($22) and Port Moody ($10). For partners or spouses, Criminal
Record Checks are also free with the exception of Burnaby ($50), Vancouver ($27) and
West Vancouver ($22). In order to qualify for the reduced cost/free Criminal Record
Check,you(andyourpartner/spouse)mustbringtheattachedCriminalRecordCheckFee
Letter(s)toyourlocalPolice/RCMPdetachment.
5. Bring your Criminal Record Check to Big Sisters, attention Linda Edamura, by mailing or
deliveringto:34East12thAvenue,Vancouver,BC,V5T2G5.

Questions?ContactBigSistersat6048734525ext.300

BigSisterVolunteerApplication(Apr2011)13

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GreaterVancouverPolice&RCMPDetachments

IMPORTANTNOTES:
YoumustgetyourCriminalRecordCheckdoneatthePolice/RCMPdetachmentinyourcity/municipalityof
residence.Pleasephonebeforegoingtoconfirmthedetachmentshoursofoperation.

InordertogetyourCriminalRecordCheckforfreeoratthereducedcostslistedbelow,you(andyourspouse/

partner,ifapplicable)musteachbringtheattachedCriminalRecordCheckFeeLetter(s)providedbyBigSisters.
DETACHMENT

HOURS/DAYS

COST

DETAILS

BurnabyRCMP
6355DeerLakeAvenue
Burnaby,BCV5G2J2
Phone:6042947922

8:00am8:00pm
7daysaweek

FREEforvolunteers
$50forpartner/spouse

1pictureID&1other(1must
havecurrentaddress)
Cash,Interac,Visa,orMaster
card

CoquitlamRCMP
2986GilfordWay
Coquitlam,BCV3B7Y5
Phone:6049451550

8:00am8:00pm
7daysaweek

FREEforvolunteers
FREEforpartner/spouse

1pictureID(driverslicense),
BCIDorvalidpassport

DeltaPoliceDepartment
4455ClarenceTaylorCrescent
Delta,BCV4K3E1
Phone:6049464411

8:00am4:00pm
MondayFriday

FREEforvolunteers
FREEforpartner/spouse

Driverslicenseorgovtissued
photoIDwithcurrentaddress

NewWestminsterPolice
555ColumbiaStreet
NewWestminster,BCV3L1B2
Phone:6045255411

8:30am9:00pm/MonSat
9:00am5:00pm/Sunday

FREEforvolunteersFREE
forpartner/spouse

1pictureID&1other(1must
havecurrentaddress)

NorthVancouverRCMP
147East14thStreet
NorthVancouver,BCV7L2N4
Phone:6049851311

8:00am6:30pm/MonFri
10:00am5:30pm/SatSun

FREEforvolunteers
FREEforpartner/spouse

1pictureID&1other(1must
havecurrentaddress)ordrivers
license

PortCoquitlam(seeCoquitlam)
PortMoodyPoliceDepartment
3051St.John'sStreet
PortMoody,BCV3H2C4
Phone:6044613456

8:00am8:00pm
MondayFriday

$10forvolunteers
$10forpartner/spouse

1pictureIDdriverslicense

RichmondRCMP
6900MinoruBoulevard
Richmond,BCV6Y1Y3
Phone:6042781212

8:00am8:30pm
7daysaweek

FREEforvolunteers
FREEforpartner/spouse

1pictureIDwithcurrentad
dress;driverslicenseorvalid
passport

SurreyRCMP
1435557thAvenue
Surrey,BCV3X1A9
Phone:6045997619

8:00am6:30pm/MonFri
9:00am3:30pm/SatSun

FREEforvolunteers
FREEforpartner/spouse
(cashordebitcard)

1pictureID&1other(1must
havecurrentaddress)

UBCCampusDetachment
2990WestbrookMall
VancouverBCV6T2B7
Phone:6042241322

8:00am4:00pm
MondayFriday

FREEforvolunteers
FREEforpartner/spouse

1pictureID&1other
ProofofUBCresidence
Providestamped,selfaddressed
envelope

VancouverPoliceDepartment
2120CambieSt.(at5thAvenue)
Vancouver,BCV5Y3Z3
Phone:6047173043
WestVancouverPolice
1330MarineDrive
WestVancouver,BCV7T1B5
Phone:6049257300
WhiteRockRCMP
15299PacificAvenue
WhiteRock,BCV4B1R1
Phone:7785933600

8:00am5:00pm
MondayFriday

$27forvolunteersw/
letter
$27forpartner/spouse
w/letter;$40w/oletter
$22forvolunteers
$22forpartner/spouse

1pictureID&1other(1must
havecurrentaddress)
Provideselfaddressedenve
lope;Cashordebitonly
1pictureIDwithcurrentad
dress

FREEforvolunteers
FREEforpartner/spouse

1pictureIDdriverslicense

(closedonstatutoryholidays)

9:00am5:00pm
MondayFriday
8:30am4:30pm
MondayFriday

BigSisterVolunteerApplication(Apr2011)14

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

CRIMINALRECORDCHECKFEELETTERFORBIGSISTERVOLUNTEERAPPLICANT

**PRINTTHISPAGEANDTAKEWITHYOUTOYOURLOCALPOLICE/RCMPSTATION**

34E.12thAvenue,Vancouver,BCV5T2G5
Phone:604.873.4525Fax:604.873.2122

ToWhomItMayConcern:

______________________________________________hasappliedtobeavolunteeratBigSistersofBCLowerMainland.

As a volunteer with this nonprofit organization, this volunteer will receive no remuneration for their
services at Big Sisters. Big Sisters is a nonprofit organization committed to enhancing the confidence,
selfesteemandwellbeingofgirls,ages7through17years,throughsupportivefriendshipswithcaring
womenonavolunteerbasis.

We would appreciate your assistance in providing the Criminal Record Check (including a Vulnerable
SectorSearch)ateitherthevolunteerrateorforfree,asthisisavolunteerpositionwithouragency.

If you require further information or documentation, please call me at 6048734525 ext. 303. Your
considerationofthisisgreatlyappreciated.

Sincerely,

JordanaMullard
ManagerofPrograms&Services

BigSisterVolunteerApplication(Apr2011)15

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**

CRIMINALRECORDCHECKFEELETTERFORPARTNER/SPOUSEOFBIGSISTER
VOLUNTEERAPPLICANT

**YOURPARTNER/SPOUSEWILLNEEDTOPRINTTHISPAGEANDTAKEITWITHHIM/HERTOTHEIR
LOCALPOLICE/RCMPSTATION**

34E.12thAvenue,Vancouver,BCV5T2G5
Phone:604.873.4525Fax:604.873.2122

ToWhomItMayConcern:

_________________________________________isthepartner/spouseof____________________________________________who

hasappliedtobeavolunteeratBigSistersofBCLowerMainland.Asavolunteerwiththisnonprofit
organization,thisvolunteerwillreceivenoremunerationfortheirservicesatBigSisters.BigSistersisa
nonprofitorganizationcommittedtoenhancingtheconfidence,selfesteemandwellbeingofgirls,ages7
through17years,throughsupportivefriendshipswithcaringwomenonavolunteerbasis.

WewouldappreciateyourassistanceinprovidingtheCriminalRecordCheck(includingaVulnerable
SectorSearch)forthisapplicantspartner/spouseateitherthevolunteerrateorforfree,asthisisa
volunteerpositionwithouragency.

Ifyourequirefurtherinformationordocumentation,pleasecallmeat6048734525ext.303.Your
considerationofthisisgreatlyappreciated.

Sincerely,

JordanaMullard
ManagerofPrograms&Services

BigSisterVolunteerApplication(Apr2011)16

**Pleaseemailyourcompletedapplicationtoinfo@bigsisters.bc.ca**