We accept applications for children and youth (aged 7 to 16) living in Greater Victoria (Sooke to Sidney). Families from other parts of Canada should visit the Big Brothers Big Sisters of Canada website to find your local agency.

The form is long, so please use the “Save and continue later” button found on the bottom of the page as needed.  Please also remember to hit the yellow “SUBMIT” button when you have finished the form.

  • About your Child

    To be eligible for a mentor, your child must be aged between 7 and 16 years old and live in the Greater Victoria Area (from Port Renfrew to Sidney).   Submitting an application form does not guarantee acceptance into our programs or that a mentor can be found for your child.
  • Your child must be aged between 7 and 16 years old to apply for our programs.
  • PRIMARY PARENT/GUARDIAN INFORMATION

  • The child/youth must in Greater Victoria (Port Renfrew to Sidney) to receive service from this Big Brothers Big Sisters agency.
  • OTHER PARENT/GUARDIAN INFORMATION

  • Background of Child

    This section is used for statistical purposes only. You do not need to complete this section if you are uncomfortable providing answers. Your answers will not affect your child's application to the program.
  • Please check all that apply.
  • FAMILY AND SCHOOL INFORMATION

  • Someone we could contact if we cannot reach you in an emergency.
  • Please describe allergies, medical or physical concerns for your child that their mentor and agency staff should know about.
  • Stay informed of what's happening at BBBS! Fundraisers, Big/Little events, amazing opportunities and more! *Please note you can opt out at any time and we will not sell or share your contact information with anyone.
  • Activities List - Fun Things to Do Together

    Please select the activities, events and/or places your child enjoys or would like to try with their mentor:
  • We do not match girls with male mentors as we always have a considerably higher number of boys on our wait-list.
  • (i.e. sporty, creative, patient, outgoing, calm, etc.)
  • ABOUT YOUR CHILD'S EXPERIENCES

    You do not have to complete this section if you are not comfortable sharing information about your child or family with us. However, we strive to match each child with the best available mentor and knowing more about your child’s experiences helps us determine who might be the best match for them.
  • Please check all that apply.
  • Please check any/all that apply to this child.
  • Please check any/all that apply to this child.
  • CONFIDENTIALITY

    Just as we share information with you about the volunteer we select for your child, we need to share information with the volunteer about you and your child.
  • If yes, please clearly state what you do NOT want shared:
  • INFORMED CONSENT

    I have completed this form to the best of my knowledge. I will advise the agency of any changes in my child’s home situation, such as address changes, relationship changes, etc.
  • I am requesting service from Big Brothers Big Sisters for my child. I give the agency consent to assign a Mentor to my child. I am aware of and understand the risks, dangers, and hazards associated with the above service and agree such service is suitable for my child.
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  • PHOTOGRAPHS, AUDIO AND MEDIA USE

    Please note that it is the parent/guardians responsibility to notify the office if the status of this consent changes.
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  • Covid-19

  • By entering your name you are confirming you agree to the above terms and conditions. (If the Participant is a minor, this form is to be signed by the Participant’s parent or guardian) If I am signing on behalf a minor Participant, I represent that I have legal capacity and authorization to act on behalf of the Participant. By entering your name on behalf of the Participant, you are confirming they agree to the above terms and conditions.
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  • By entering your name you are confirming you witnessed the Participant's Parent or Legal Guardian sign the consent form. Witness needs to be over 19 years of age.
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