Volunteer Application

Volunteer Application

Miramichi Big Brothers Big Sisters
115 Maher Street,
Miramichi, New Brunswick
E1N 4B4
Phone (506) 778-2444   Fax (506) 778-1855
 
Volunteer Application

I would like to volunteer for: 
Big Brother
Big Sister
Big Couple
In School Mentor

Full Name: 

Phone:  (h) 

(w) 

Street: 
City: 

Prov: 
Postal  
Code: 
Length of  
time in area: 

Birth Date: 
Birth Place: 

E-mail: 
Maiden Name: 

Single
Married
Common-Law
Divorced
Separated
Widow

Name of  Spouse / Partner: 

Ages of children: 
Boys: 
Girls: 

Where Employed: 
For How Long?: 

Occupation: 

How Did You Learn  
of Big Brothers  
/ Big Sisters? 

Why do you wish to  
become a volunteer? 

Do you know anyone in Big brothers / Big Sisters? (Name) 

Sports, Hobbies, Interests,  
Skills, Community  
Involvement: Agencies,  
Clubs, etc.  

Age Preference of Little Brother / Little Sister: 
Unsure
6-8
9-10
11-12

Do you have a driver's license? 
yes
no
Use of a car? 
yes
no
Driver's License #: 

Other languages spoken: 

I fully understand that the Agency, following review of my application, reserves the right to accept or refuse my application.

Date: 

Print

Miramichi Big Brothers Big Sisters
115 Maher St., Miramichi NB, E1N 4B4
Tel: (506) 778-2444

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