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Big Brothers Big Sisters of Cape Breton County
Online Application

Thank you for your inquiry about becoming one of our Mentors.
The Application forms can also be downloaded as an alternative to filling out the forms online. Please choose MS Word, Adobe PDF, or Standard Text.

Please answser the questions below, and someone from our office will get back to you as soon as possible. Remember, none of this information will be used for any other purpose then intended. For more information please read our Privacy Policy.

If there are any questions please feel free to contact someone from our agency.

* Please note *
Before applying online you must:
a: Be 18 years of age or older
b: Have a valid email address
c: Fill in all fields that contain an (*) asterisk

Name* :
Email* :
Address :
Apt :
City :
Postal Code :
Day Phone* :
Alternate Phone :
Fax :
Occupation :
Date of Birth* : (yyyy-mm-dd)
Sex* : (please enter "male" or "female")
Message :

Which program(s) are you interested in?
In School Mentoring
Big Bunch Program
Traditional Big Brother / Big Sister Program
Not sure
How did you hear about us?
Another Big Brother or Big Sister
BBBS Event
Big Brother Big Sister Display
Big Brothers Big Sisters Website
University Display
Email
Traditional Mail
Non BBBS Web site or Web Advertisement
I am a Former Little Brother / Little Sister
Presentation at my place of work
Newspaper Ad or Story
Printed Material
Radio
Television
Referral from a Volunteer or Friend
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