Bellefaire JCB adoption, foster care, wellness for children Cleveland Ohio

Skip to content

I want to learn more about becoming a big.

I'm a youth and I'm interested in being matched with a big.

Volunteer Form

Big Brother Big Sister One-to-One Mentor:

Community-based program: matched with one child, from a Jewish single-parent home, recently resettled immigration family or family with special circumstances, on an individual basis; meet with Little Brother or Little Sister twice a month; minimum one year commitment required; must be 21 years or older.

Personal Information

First Name: *

Last Name: *

Birth Date: *

Email: *

Marital Status: *

Home Address: *

City: *

State: *

Zip Code: *

Religion:

Race:

Home Phone:

Cell Phone:

Employment Information

Employer:

Job Title:

Work Phone:

Email Address:

Education

High School

Location:

Dates Attended:

Degree:

Extra Curricular Activities:

College

Location:

Dates Attended:

Degree:

Extra Curricular Activities:

Post Graduate/Other

Location:

Dates Attended:

Degree:

Extra Curricular Activities:

Driving

Volunteers must have access to a car, current driver's license, current car insurance and not have more than 4 points on driver's license.

Driver's License Number:

Insurance Carrier:

References:

Please list the complete names, addresses, and daytime phone numbers of three non-family members for references. Contract your reference, have them log on to www.jbbsa.organd click on the reference link to complete a reference form online.

Name 1

Full Name:

Relationship:

Day Phone:

Home Address:

City:

State:

Zip Code:

Name 2

Full Name:

Relationship:

Day Phone:

Home Address:

City:

State:

Zip Code:

Name 3

Full Name:

Relationship:

Day Phone:

Home Address:

City:

State:

Zip Code:

Spouse or Significant Other

Full Name:

Relationship:

Day Phone:

Home Address:

City:

State:

Zip Code:

Applicant's Statement

By checking this box, I certify that answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination if I am accepted as a Big Brother/Big Sister, whenever it may be discovered. If I am accepted, I understand that I am required to abide by all rules and regulations of The Jewish Big Brother Big Sister Association and Belefaire Jewish Children's Bureau. *

Quick Links

About Us

News

Programs and Services

Help for Parents and Teens

Donate to Bellefaire

Employment

Contact