Références des bénévoles - Big Brothers Big Sisters of Ottawa

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Références des bénévoles

Vulnerable Sector – Employment – Volunteer Reference

« * » indique les champs nécessaires

Provided for (Volunteer Name):*

Email (Volunteer Email):*

Provided by (Your Name):*

Email (Your Email):*

Phone (Your Phone):*

How long have you known the applicant?*

In what capacity?*

What is/was the role of the applicant with your business/organization?*

Employee

Volunteer

Student Placement

Name of business/organization:*

Do you have experience directly supervising or supporting the applicant in their role?*

Yes

No

Please explain.

Have you witnessed the applicant interacting with children/youth?*

Yes

No

How does the applicant ensure the safety and well-being of young people under their supervision?

Have you witnessed the applicant interacting with a vulnerable population other than children or youth?*

Yes

No

Please specify the population and describe how the applicant interacts with them.

How long did the applicant volunteer or work for your business/organization?*

Did the applicant take on additional roles and/or responsibilities during their involvement?*

Yes

No

Please explain.

How does/did the applicant engage with or respond when provided with support, training, and/or feedback?*

(If applicable) Why did the applicant resign?

Did you know the applicant was applying to be a mentor?*

Yes

No

What is your reaction?

Please explain.

Do you have any concern about whether this is an appropriate volunteer role for this individual?*

Yes

No

Please explain.

What personal strengths do you feel the applicant has to offer in their role as a mentor?*

Can the applicant be counted on to follow through on their commitments?*

Yes

No

Please explain.

To your knowledge, has the applicant ever had any trouble following rules/instructions?*

Yes

No

Please explain.

Are you aware of any complaints being made or disciplinary actions being taken against the applicant?*

Yes

No

Please explain.

Have you ever known the applicant to be inappropriate (emotionally, physically, verbally, sexually) with either adults or children/youth?*

Yes

No

Please explain.

Would you recommend the applicant as a mentor for young people?*

Yes

No

Would you welcome the opportunity to work closely with this individual?*

Yes

No

Please explain.

Do you have any concerns about this person volunteering to spend time with a child/youth?*

Yes

No

Please explain.

Is there anything you would like to add that would aid us in our decision?

By clicking this box:*

I understand and agree to the above statements.

Name*

Prénom Nom

Date*

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Email

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Mentoring Programs

PRISM
BIGS Community Mentoring Program
MPower Youth Mentoring
In-School Mentoring Program
Meet You in School Mentoring
BBBSO Alumni Club

BBBSO is an inclusive environment.

BBBSO is an inclusive environment.

Big Brothers Big Sisters of Ottawa
1645 Woodroffe Avenue, Suite 12
Ottawa, ON, K2G 1W2

Email: [email protected]
Phone: 613-247-4776
Fax: 613-247-2240