Full Summary of Volunteer Involvement - Big Brothers Big Sisters of Victoria Capital Region

Volunteer Name(Required)

First Last

Staff Member Name(Required)

Date

1. Summarize the mentoring relationships in which the applicant has engaged. How many? What programs? How long were they? Why did they close? Document any strengths and concerns.(Required)

2a. Review the information related to the volunteer’s individual and match file(s). Please check any of the following that apply:(Required)

2b. Please provide examples and rationale to corroborate the above. Document any strengths and concerns.(Required)

Final Assessment: Full Summary of Volunteer Involvement

Final Assessment: Full Summary of Volunteer Involvement(Required)

Based on all available information assessed, there appear to be no concerns, and the applicant can be rematched as per request.

Based on all available information assessed, the applicant should be rematched in a different program. PLEASE ELABORATE BELOW.

Based on all available information assessed, the applicant should not be rematched. PLEASE STATE REASONING FOR DECISION BELOW.

Please provide examples and rationale to corroborate the above. Document any strengths and concerns.(Required)

Signature of person conducting the Full Summary of Volunteer Involvement(Required)