About You
Big Brothers Big Sisters of Victoria supports diversity and welcomes applicants of every race, religion, culture, gender and sexual orientation.
Contact Details
-
Demographics
Volunteers must be aged 14 or older
contact with Big brothers big sisters
Big Brothers Big Sisters emails out regular newsletters and e-blasts that provide information about agency events and activities. We will not sell or share your information. You may opt out of receiving our newsletters at any time in the future.
How did you find out about the volunteering opportuntiies at Big Brothers Big Sisters of Victoria?
more about you
Please provide the name and phone number of the person we should contact on your behalf in the event of an emergency.
Please tell us your current employment status.
Have you ever applied to or been a volunteer with a Big Brothers Big Sisters agency in the past?
Have you ever volunteered for another agency to support children or vulnerable people?
Reference Section
Please provide contact details for each reference type (Min. 3 required). The person who provides the reference must be aged 19 or older.
Please give us their email address. If this is not possible, ensure their phone number is included. Let your references know that we will send them a brief questionnaire about you, They can complete it by e-mail,
telephone or through an on-line survey platform. Please ask them to follow up with us as quickly as possible.
A friend, neighbour or colleague. Someone who has known you for two years or more.
If you are married or living common-law, please provide your partner’s details. If you are not married or living common-law, please provide details for a family member (parent/sibling/cousin, etc.)
For teen mentors only: A teacher or school counsellor. For adult mentors only: A supervisor, team-lead, or manager in a current or past employment role.
You must provide a Vulnerable Sector Reference if, within the last 5 years, you have worked and/or volunteered with a person and/or organization responsible for the well-being of children under the age of 18 (this includes baby-sitting for children other than your own siblings) or vulnerable persons who, because of their age, disability, or other circumstances, are at greater risk than the general population of being harmed by a person in a position of authority or trust relative to them.
When are you typically available to volunteer? Please check all that apply.
signature section
The information I have provided is true and complete to the best of my knowledge. I understand and agree that a false statement may disqualify me from a position or result in dismissal.
MM slash DD slash YYYY
volunteer permission and release agreement
The Agency and Big Brothers Big Sisters Canada (“BBBSC”) are separate entities and this Agreement is between me and the Agency.
1. By applying to volunteer with the Agency (“Volunteer Application”) and signing this Agreement, I acknowledge, understand and accept that:
(a) I am a legal resident of Canada and have reached the age of majority in the province or territory in which I reside. I acknowledge and agree that if I have not reached the age of majority of the province or territory in which I reside, my parent or legal guardian will also need to sign this Agreement in order for my Volunteer Application to be considered;
(b) There is no obligation on the Agency to accept my Volunteer Application or assign me as a volunteer into any volunteer position and the Agency may terminate my involvement as a volunteer in its sole discretion and without reason;
(c) If I am accepted as a volunteer, my involvement wiht the agency is not intended to create and shall not be construed as creating either an employee–employer relationship or a contract for services that would allow me to receive a salary, compensation, payment or any benefits, monetary or otherwise; and
(d) If I am accepted as a volunteer, I understand that I will be required to enter into a confidentiality agreement with the Agency, and I agree to abide by the volunteer position description(s) and code(s) of conduct established by the Agency, including any applicable guidelines, Standards and policies.
2. Assumption of Risk, Release and Reimbursement:
I acknowledge, understand and accept that:
(a) I am responsible for all risks associated with my involvement as a volunteer including, without limitation, the risk of bodily or psychological harm or injury.
(b) Subject to local laws, I agree not to sue the Agency, BBBSC and/or any of their member agencies in respect of any such injury or claim resulting from my participation as a volunteer, my Volunteer Application, the acceptance or denial of my Volunteer Application, the Alumni Program and/or my association with the Agency or BBBSC.
(c) I understand that I am fully responsible for any damage to my personal vehicle and/or property during my volunteer involvement as a volunteer and that neither BBBSC nor the Agency insures personal vehicles or property belonging to its volunteers;
(d) I agree to reimburse the Agency and/or BBBSC and/or any of their member agencies for any damages or losses of any kind (including but not limited to the injury of any other person and/or damage to or loss of property) that may arise in connection with my gross negligence, wilful misconduct, or failure to act in accordance with published BBSC policies and guidelines and relating to or arising in connection with my participation as a volunteer or my association with the Agency or BBBSC, including payment of any and all legal expenses of the Agency, BBBSC and/or any of their member agencies.
3. Background Check. I understand that my acceptance as a volunteer will be conditional on my successful completion of a background check, which may include contacting the references included in my Volunteer Application, receiving volunteer information from other BBBSC agencies, and/or a criminal record check, for the purposes of confirming my suitability a volunteer role. I agree to provide all necessary consents for such background checks.
4. Privacy Notice. The personal information provided by me or otherwise collected by the Agency in connection with my application will be used by the Agency for the purpose of evaluating and considering my Volunteer Application and, if accepted as a volunteer, for the purpose of administering the volunteer position. This information may include my name, phone number, mailing address, date of birth, results of background check, and driver’s license and auto insurance information. My personal information will be maintained by the Agency on a confidential basis and will only be disclosed to BBBSC as required for the purposes of accreditation reviews or legal proceedings and as otherwise required or permitted by law. In the event the Agency ceases operations, any and all information about me held by the Agency will be provided to BBBSC, another BBBSC agency selected by BBBSC, or both and will be used for the purposes set out above.
In the event where it is deemed necessary, any and all information about me held by the agency will be provided to BBBSC, another BBBSC agency selected by BBBSC, or both and will be used for the purposes set out above. No information will be provided to persons or organizations outside of Big Brothers Big Sisters of Canada, and its agencies, about parents, children or volunteers without their express prior written consent except where required by law.
5. Other Terms of this Agreement.
(a) In entering into this Agreement, I am not relying on any oral or written representations other than as set forth in this Agreement.
(b) This Agreement shall be governed by and construed pursuant to the laws of the Province or Territory in which the Agency is located.
(c) In the event that any provision or term of this Agreement is held to be invalid, illegal or unenforceable, the remaining provisions of this Agreement shall remain in full force and effect.
6. Media Consent. Any photographs or video productions taken of volunteers by agency staff, or otherwise authorized by the Executive Director or Board of Directors, may be used by the agency for purposes of promotional material including brochures posters, newsletters, media information, advertisements, audio-visual productions and web pages, such as the Agency website and social media. Photographs or video productions may also be shared with community and school partners and Big Brothers Big Sisters of Canada for program promotion.
By entering my name below, I acknowledge that I agree to the above terms and conditions.
MM slash DD slash YYYY
By entering my name below, I acknowledge that I agree to the above terms and conditions.
MM slash DD slash YYYY
By entering my name below, I acknowledge that I agree to the above terms and conditions.
CONFIDENTIALITY
All staff and volunteers of Big Brothers Big Sisters of Victoria and Area are required to abide by this Confidentiality Policy. Any breach of this policy will be considered grounds for termination.
Agency Service Delivery Staff will explain the confidential nature of our service to the volunteer, child and parent/guardian as early as possible in the orientation and/or screening process. At all times thereafter Service Delivery Staff will ensure the privacy of case information.
Information contained in the Casework files will not be disclosed by the Agency to any person without written approval of said person except in the following cases:
where the safety of a child depends upon divulging this information. This could include suspicion of neglect or abuse of a child. The proper authorities will be informed when necessary. This could result in the disclosure of confidential information without written consent from the person to Brothers Big Sisters of Canada’s insurers and or legal counsel, as may be appropriate in connection with any legal proceeding or inquiry;
when subpoenaed by the courts;
where required by law;
during periodic agency accreditation reviews case records, including relevant personal information will be shared to authorized representatives of Big Brothers Big Sisters of Canada.
In the event that confidential information is requested to support a custody or access application, or for any court matter other than a “child protection” case, the agency will only release the information if required to do so by a Judge’s Order.
No staff member or volunteer shall use confidential information from the agency to advance any personal interest, financial or otherwise.
In accordance with Big Brothers Big Sisters of Canada’s National Standards:
No information will be provided to persons or organizations outside of Big Brothers Big Sisters of Canada, and its agents, about parents, children or volunteers without their express prior written consent except where required by law.
All information and records, including electronic records, shall be kept secure (for example, in a filing cabinet, desk, etc. under lock and key, password protected, etc.) and confidential at all times.
Case records will be accessible only to the Caseworker, Executive Director, Casework Supervisor, and in appropriate situations, other Caseworkers.
By entering my name below, I acknowledge that I agree to the above terms and conditions.
MM slash DD slash YYYY
Covid-19 WAiver
This agreement must be completed in full before you can take part in any further in-person meetings with Mentees that are authorized by Big Brothers Big Sisters of Victoria Capital Region (respectively, “Meetings”, “Mentors”, and the “Agency”).
The information being collected by Big Brothers Big Sisters of Victoria Capital Region (the Agency) is for the express purpose of operating the mentorship programs and may be disclosed to staff and volunteers as required for such purpose.
By signing this Assumption of Risk, Release and Indemnity Agreement, you, the “Mentor”, are waiving important legal rights, including the right to sue. Please read carefully.
As of March 19th, 2020, the Agency suspended all Meetings in connection with the COVID-19 pandemic. As of June 1st, 2020, the Agency has resumed Meetings in accordance with the health and safety guidelines from British Columbia’s Ministry of Health and the Provincial Health Officer. Notwithstanding the Agency’s efforts to reduce risks in connection with the Meetings, the Mentor recognizes that Meetings could expose the Mentor to certain risks, including but not limited to the risk of contracting COVID-19, which may result in serious illness or death.
Therefore, in consideration of the Mentor participating in any further Meetings and for other good and valuable consideration (the receipt and sufficiency of which are hereby acknowledged by the Mentor), the Mentor hereby:
Freely ASSUMES ALL RISK in respect of the Mentor’s participation in the Meetings;
RELEASES AND FOREVER DISCHARGES the Agency and all of its predecessor, subsidiary, parent, related, affiliated and successor companies, including but not limited to Big Brothers Big Sisters of Canada (collectively, the “Organizations”) and all of their respective present and former officers, directors, employees, volunteers, representatives and agents of the Companies (collectively, the “Released Individuals”) (the Organizations and the Released Individuals are collectively referred to as the “Released Parties”) from any and all responsibility, liability, cause of action or claim of any kind whatsoever in respect of the Mentor’s participation in the Meetings due to any cause whatsoever including negligence or breach of any other duty of care on the part of the Agency and including the failure of the Agency to safeguard or protect the Mentor from the risks, dangers and hazards associated with the Meetings;
INDEMNIFIES all of the Released Parties from and against any and all liability incurred by any or all of them as a result of, or in any way connected with the Meetings; and
Agrees that the provisions of this agreement shall ensure to the benefit of the respective successors and assigns of the Agency and shall be binding upon the Mentor’s heirs, next of kin, executors, administrators and personal representatives.
By entering my name below, I acknowledge that I agree to the above terms and conditions.
If the Mentor is a minor, this form is to be signed by the Mentor’s parent/guardian. By signing your name, you are confirming you agree to the above terms and conditions.
By signing on behalf of a minor Mentor, you represent that you have legal capacity and authorization to act on behalf of the Mentor. By entering your name on behalf of the Mentor, you are confirming that they agree to the above terms and conditions.
MM slash DD slash YYYY
By signing your name, you are confirming you witnessed the Mentor or Mentor’s Parent/Legal Guardian sign this agreement form. Witness needs to be over 19 years of age.
MM slash DD slash YYYY
