ABOUT
WHAT IS BUILDING BRIDGES
SUCCESS STORIES
FAQS
Apply Today!
JOIN BUILDING BRIDGES
Building Bridges Leaders
Participant Application
GET INVOLVED
BECOME A BRIDGE ALLY
VOLUNTEER OPPORTUNITIES
360° FOR GOOD
EVENTS
BLOG
CONTACT US
DONATE
ABOUT
WHAT IS BUILDING BRIDGES
SUCCESS STORIES
FAQS
Apply Today!
JOIN BUILDING BRIDGES
Building Bridges Leaders
Participant Application
GET INVOLVED
BECOME A BRIDGE ALLY
VOLUNTEER OPPORTUNITIES
360° FOR GOOD
EVENTS
BLOG
CONTACT US
DONATE
ALLY APPLICATION
Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
MM
DD
YYYY
Cell Phone
(###)
###
####
Home Phone
(###)
###
####
Work Phone
(###)
###
####
Place of Employment
Email Address
*
Preferred Method of Contact/Best Time
Availability
Select all that apply.
Weekday mornings
Weekday afternoons
Weekday evenings
Saturday mornings
Saturday afternoons
Saturday evenings
Sunday mornings
Sunday afternoons
Sunday evenings
Primary Criteria
Select all that apply.
Speak and Read English
Motivated (Interested in learning and applying new ideas)
Willing to build intentional relationships across class and cultural lines
Family supports and encourages involvement in the Circles program
If history of alcohol or other addiction, have been in recovery for at least the past 6 months
Relatively stable (Not currently homeless or dealing with domestic abuse)
Family Information
Names and ages of children
Background Information
1) Summarize skills, qualifications, and/or training you have acquired from employment, education, life experience or through activities, including hobbies or sports. Also include passions and talents you would like to share with others. 2) List community/social/faith-based groups and organizations you are involved with that referred you or that you may be able to share with a participant.
How did you hear about Building Bridges and what most interested you in the Circles program?
What about being a Building Bridges volunteer is of interest to you?
Check all that apply.
Weekly meeting meal/kitchen volunteer
Childcare assistance
General Circles volunteering
Becoming a Circles Ally
What behaviors do you find most frustrating in people?
I am really good at ______________________
I am not so good at ________________________
Is there anything else you would like to tell us about yourself?
Have you ever been convicted of a felony?
Yes
No
Do you currently have pending court cases?
Yes
No
Do you have any active warrants?
Yes
No
If you answered "Yes" to any of the above, please explain.
(Note: Background Checks may be a requirement)
Person to Notify in Case of Emergency
Please list his/her name, address, and phone.
Thank you!
