Significant Other Reference Form Someone you know is applying to become a Big Brother/Sister and has given us your name as a reference. Your responses to the following questions will be kept confidential and will be used by our staff to decide whether to accept him/her as a Big Brother/Sister and, if accepted, to help us determine which child would be a good match for him/her. Big Brothers Big Sisters creates professionally supported, one-to-one Matches that empower kids in KC to realize their full potential. Your InformationYour Name(Required) First Last Your Email(Required) Your Cell Phone Number(Required)Reference InformationName of applicant you are providing a reference for(Required) First Last How long have you known the applicant?(Required) Do you currently live with the applicant?(Required) Yes No For how long? Please describe your relationship with the applicant(Required)How would you describe the applicant's personality?(Required)Tell us about the applicant's strengths(Required)Tell us about the applicant's weaknesses(Required)Has the applicant spoken to you about his/her interest in becoming a volunteer?(Required) Yes No What was your initial reaction to the applicant becoming a Big Brother or Sister? Are you supportive of him/her becoming involved with BBBS and mentoring a child in a one-to-one setting?(Required)Do you anticipate being involved or present when the volunteer applicant is mentoring a child? How? If you have children, how do your children feel about the volunteer applicant becoming a Big? Do you anticipate your child/children interacting with the Little Brother or Sister?(Required)Please describe how the applicant relates to children of varying ages and personalities. What type of child do you think the applicant would work best with?(Required)What types of personalities or characteristics do you think the volunteer applicant may find challenging in a child?(Required)How does the applicant show a child that he/she cares about them?(Required)Have you had the opportunity to observe the applicant disciplining a child (your own child or another child)? Please tell me about a time when you observed the applicant with a child who was not behaving as expected – how did the applicant respond?(Required)Do you consider the applicant dependable?(Required)Is there anyone that you’re aware of that lives in or around the volunteer’s home that you feel may pose a potential safety risk to a child?(Required)Who does the volunteer applicant spend most of his/her free time with and what do they generally like to do together?(Required)Is there any reason why you believe this may not be the right time for the volunteer applicant to mentor a child? Why?(Required)Is there anything further you’d like to share with us about this applicant?(Required)Your Living SituationMany Volunteers end up spending time with their Littles in their homes at some point in their relationship.How do you feel about a child potentially visiting your home?(Required)Please describe your home environment and neighborhood.(Required)Who else lives in the home and what are their relationships to the volunteer applicant?(Required)What are some things you're aware of in your home that a Little may enjoy doing?(Required)Can you speak to any concerns you may have with a child visiting your home?(Required)Applicant's Living SituationMany volunteers end up spending time with their Littles in their homes at some point during their Match.Please describe the applicant's home environment and neighborhood.(Required)Who else lives in the applicant's home and what are their relationships to him/her?(Required)What are some things you're aware of at the applicant's home that a Little may enjoy doing?(Required)Can you speak to any concerns you may have with a child visiting the applicant's home?(Required)
