= Required

Contact Information

Reference Name		Applicant Name
Title		Relationship
Email
Phone Number

Please answer the following questions.

1. How long have you known the applicant?

2. In what capacity?

3. How does he/she relate with people on a personal level?

4. Applicant's ability to accept supervision.

5. Describe applicant's temperament and personality.

6. Areas of strength.

7. Areas of possible weakness.

8. Ability to deal with conflict.

9. Applicant's ability to relate with children.

10. Would you recommend this applicant as a Big for a child close to you?
Yes No Maybe Not Sure

11. Please comment on applicant's stability, consistency and responsibility.

12. Is there any reason why this person should not be accepted as a volunteer to JBBBSA?
Yes No

If yes, please explain why.

13. How well does the applicant relate to his/her co-workers?

15. In your opinion, what role does the applicant's career play in his/her life?

14. How reliable is the applicant in completing assignments?

Additional Comments

Please list any additional comments below.

  Please send me information on how I can become a Big Brother or Big sister. You may also complete an online volunteer application to initiate the process of volunteering.

My Address