Annual Match Agreement Document Annual Match Agreement Who is your Mentoring Coordinator (BBBS Staff Person)?(Required) Julia Ross Alexis Miedema Sarah Neilson Match Start Date:(Required) MM slash DD slash YYYY Rules Reminders(Required) We agree to the following the match rules:1. Communication: Open communication is key! Issues will arise which is normal and healthy. Issues should be discussed right away as this is essential for match health. For small issues, talk to each other first. If you are not comfortable discussing it with each other, or if it is a more serious issue, contact a Mentoring Coordinator right away. 2. Low-cost/no-cost approach: Matches should avoid spending money on match activities. If the chosen activity has a low-cost that everyone is comfortable with, then the parent/guardian provides money for the Mentee’s portion and the Mentor pays their own way. 3. Including others: The focus of this match is the 1-to-1 friendship. If someone else is included on a visit (such the Mentor’s partner or the Mentee’s sibling, etc.) this is acceptable if agreed upon ahead of time by everyone and it only happens occasionally. Everyone should have the chance to say no to the plan. The caregiver should also have the opportunity to meet the other person first. Even if the mentor/mentee has met the joining person before, consent must be provided every time they join. The Mentee can never be left alone with anyone other than the Mentor 4. The Mentor’s role does not include: disciplining, providing sexual education, providing religious/spiritual education or political views, or acting as a babysitter. The mentor is not a substitute parent or caregiver, but rather an additional supportive adult role model. 5. Closing your match: You have completed your 1-year commitment! We are so glad you would like to continue developing your relationship with BBBS. Regardless of the length of the match, if something changes for you and the match cannot continue, please contact a Mentoring Coordinator right away to discuss closing the match in the most positive way possible. It is the responsibility of both match members to promptly reach out to a mentoring coordinator to formally close the match. High-Risk and Prohibited Activities We agree to the submit a High-Risk Activity Release Form for the following match activities:Activities that expose match participants to hazards, uncertainty, or additional elements of danger are considered high-risk. All high-risk activities require the Mentor and Parent/Guardian to complete a High-Risk Activity Release Form before the activity can take place. Activities that require a High-Risk Activity Release Form include, but are not limited to: 1. Water-based activities where a life-guard is not on duty, including fishing on a boat, paddle-boarding, kayaking, canoeing, water-skiing, swimming in open water, etc.; 2. Flight-based activities such as helicopter/airplane rides, etc.; and 3. Extreme-sport activities such as BMX or mountain biking, outdoor rock climbing, archery, and target shooting, etc. If you are considering an activity and aren’t not sure if it would be considered high risk, contact a Mentoring Coordinator beforehand. If you have already submitted a high-risk waiver for an activity (ex. Swimming in the lake), you do not need to sign one every time and this waiver remains valid for the duration of your match. Overnight Visits Match meetings cannot include any form of sleep-over, camp-out or over-night travelling or activities. Match meetings must start and end on the same date. Check-Ins We agree to complete quarterly check-ins for the duration of our matchCheck-ins with BBBS staff will occur on a quarterly basis (every 3 months) for all match members – parents/guardians, mentees, and mentors. Match members have the choice to complete up to 2/4 quarterly check-ins via email; there must be at least 1 phone call check-in per year, and annuals will still be completed in-person or on zoom as usual. Without timely completion of check-ins, match is at risk of suspension or termination.The MentorThe Mentor's Responsibilities(Required) By typing my name below, I agree to abide by all of the rules and responsibilities outlined in this document.1. I will be a positive role model to my Mentee. 2. I will take responsibility for setting up all outings and ensuring we are meeting weekly. 3. I will get creative and come up with fun, free or low-cost things to do together. If I run out of ideas I will contact a Mentoring Coordinator. 4. I will communicate with the caregiver before each outing to ensure that the activity, time, and cost of outing are appropriate. I will ask the caregiver before taking photos during match outings. 5. I will ensure the safety and well-being of my Mentee while on outings. I will model safe behavior, and supervise my Mentee at all times during outings. 6. I will let my Mentee set the speed at which our friendship develops 7. I will never smoke or consume alcohol or illegal drugs prior to or during outings. 8. If I need to close my match, I will reach out to a mentoring coordinator right away for guidance. Name of Mentor:(Required) First Last Mentor Signed Annual Agreement on:(Required) MM slash DD slash YYYY Mentor's Email Address:(Required) The Parent/GuardianThe Parent/Guardian's Responsibilities:(Required) By typing my name below, I agree to abide by all of the rules and responsibilities outlined in this document.1. I will ensure that my child is on time and prepared for each outing, including being dressed appropriately for the occasion and with money if it is necessary for the activity. 2. If my child is 9 years old or younger, I will provide a booster seat for the Mentor to use when driving with my child in their vehicle. 3. I will ensure my child is returning phone calls from their Mentor in a timely manner. 4. After every outing, I will ask my child about the outing and about how the match is going. 5. I agree that I will not discipline my child by cancelling the meeting with their Mentor. 6. I will share appreciation with the Mentor and encourage my child to do the same. 7. If I need to close the match, I will reach out to a mentoring coordinator right away for guidance. Name of Parent/Guardian:(Required) First Last Parent/Guardian Signed Annual Agreement on:(Required) MM slash DD slash YYYY Parent/Guardian Email(Required) The MenteeThe Mentee's Responsibilities(Required) By typing my name below, I agree to abide by all of the rules and responsibilities outlined in this document.1. I will be on time and ready to go for outings with my Mentor. 2. I will help my Mentor come up with a list of things we can do together. 3. I will tell my Mentor what I like and don’t like during activities and throughout our friendship. 4. I will be well behaved and respectful and will remember to say “Please” and “Thank You!” 5. I will talk to my Parent or Caregiver right away if I feel uncomfortable or if there’s anything I don’t like about my match. 6. I will tell my Mentor when I’ve had a good time and thank them for being a part of my life! Name of Mentee:(Required) First Last Mentee Signed Match Agreement on: MM slash DD slash YYYY Mentoring CoordinatorThe Mentoring Coordinator's Responsibilities:(Required) I agree to the privacy policy.1. I will monitor the match as outlined in the Match Monitoring Info Form. 2. I will be available as a resource and support for the Mentor, Mentee, and the Mentee’s Parent/Guardian.Name Of Mentoring Coordinator(Required) First Last Mentoring Coordinator Signed Annual Agreement on:(Required) MM slash DD slash YYYY Mentoring Coordinator's Email Address:(Required) Section BreakConsent I agree to the privacy policy.Consent I agree to the privacy policy.PhoneThis field is for validation purposes and should be left unchanged.
