Community Application


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Staff & Board Area

BBBS of Gallatin County
15 South 8th Avenue
Bozeman, MT 59715
phone: 406-587-1216
[ email ]

Branch and Satellite Offices:

Big Sky Branch
45465 Gallatin Road
Gallatin Gateway, MT 59730
(406) 995-3411
[ email ]

Ennis
PO Box 57
Ennis, MT 59729
(406) 682-5681
[ email ]

West Yellowstone
PO Box 655
West Yellowstone, MT 59758
(406) 646-1015
[ email ]

Community Application
Become a Big » Community Based Bigs » Community Application

Community Based Big Application Form

Your Information

*First Name:
Middle Name:
*Last Name:

*Date of Birth:

*Address:
*City:
County:
*State:
*Zip Code:
*Email Address:
Home Phone:
Cell Phone:

*Do you have a drivers License?

Yes

Drivers License Number:
DL State & Expiration Date:

*Gender:

Male

Female

Ethnicity:
Highest Level of Education:
*Marital Status:

Employment Info

Employer:
Supervisors Name:
Occupation:
*Address:
*City:
*State:
*Zip:
Email:
Work Phone:

May we call you at work?

Yes

Work Hours:
How Long Employed:

References

Please DO NOT list any relatives as references even if they fit one of the reference types. If others reside with you, use one as a reference. Please list your supervisor if you are employed. If you are a high school student please use a professional reference such as supervisor or teacher.

Employer Reference:

Your past employer who has known you for at least one year.
Professional Reference: Supervisor or teacher who has known you for at least one year.
*Type:
*Name:
*Address:
*City:
*State:
*Zip:
*Phone:
Fax:
Email:

Coworker or Friend:

Who has known you at least TWO years.
*Type:
*Name:
*Address:
*City:
*State:
*Zip:
*Phone:
Fax:
Email:

Have you ever applied before to be (or have you been) a Big Brother or Big Sister? If so, where and when?:

What, if any, other youth organizations have you worked for or been involved with as a volunteer?:

Comments:
By submitting this form, I am indicating that I understand and agree to the following:

The references I listed may be contacted by mail, telephone, or email;
This application in no ways obligates me to perform any volunteer services;
The information I provided may be used to conduct a background check, to include driving records check, criminal background check, and other records where required by local, state, or federal law for volunteers working with youth
Our BBBS agency is not obligated to match you with a youth;
As part of our enrollment processes, we will be asking you to provide additional personal information prior to make any recommendations for assignment.
I give permission for myself to be depicted in the Mentors Program through various avenues of media, such as pictures, quotes, video, drawings, or otherwise, for any purpose the organization deems fit without compensation to myself.

Big Brothers Big Sisters of Gallatin County on Facebook

Thank You To our
LEGACY MATCHMAKER
OP/TECH USA

Giving Levels
Century Club $100
Patron of Youth $350
Benefactor of Youth $500
Match Maker $1,000
Advocate of Youth $2,500
Magic Maker $5,000
Dream Maker $10,000
Legacy Match Maker $20,000

Little Moments, Big Magic

Your Information

Employment Info

References

Employer Reference:

Coworker or Friend:

Spouse/Domestic Partner/Friend: