School-Based Coordinator Inquiry School-Based Coordinator Pre-Application Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Best Number to Reach You:*Is this a:* Cell Phone Home Phone Work Phone Gender:Date of Birth:*Employer:How did you hear about us?Check here if you would like to receive email updates from Big Brothers Big Sisters of Mid-Maine School programs meet mid-October through Mid-May for one hour a week after school. On which day(s) are you interested in volunteering?* Monday Tuesday Wednesday Thursday School programs generally meet during "typical" after-school hours: 2:30-4:30. Are you available to meet during this time?*Please describe your current work schedule (days/hours):*How long have you lived in the area?*Do you anticipate any significant life changes over the next year or have you had any in the past year? Answer Yes or No. If Yes, please provide a description.*Do you speak any foreign languages? Answer Yes or No. If Yes, please specify language(s).*Are you experiencing any physical or mental health problems? Answer Yes or No. If Yes, please provide a description.*Have you previously applied to be a Big Brother or Big Sister here or anywhere else? If Yes, please state when/where.*Have you ever been arrested, charged, or convicted of a crime? Answer Yes or No. If Yes, please provide a description.*Have you previously been involved with or volunteered for any youth serving organization? If so, please describe:*EmailThis field is for validation purposes and should be left unchanged. What's Happening at BBBS? Donate needed supplies to our school and site based programs! Thank you to our Website Sponsors! Catch up with the latest BBBSMM news!