School Based 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 ]

School Based Application
Become a Big » School Based Bigs » School Based Application

School 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:
*School Attending:
*Year in School:
*GPA:
*What are your main interests,
activities and hobbies?

*Parent/Guardian Name:
*Parent/Guardian Employer:
*Parent Work Phone#:

Employment Information

Employer (if employed):
Address:
City:
State:
Zip:
Email:
Work Phone:
Work Fax:

References

A teacher or school counselor who knows you well.

*Type:
*Length of time known:
*School Name:
*Name:
*Address:
*City:
*State:
*Zip:
*Day Phone:
Fax:
Email:

An adult employer, co-worker or friend

who has known you at least 2 years
*Type:
*Length of time known:
*Name:
*Address:
*City:
*State:
*Zip:
*Day 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.

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
Magic Maker $5,000
Dream Maker $10,000
Legacy Match Maker $20,000
Little Moments, Big Magic