ENROLLING A YOUNG PERSON

Please watch our family intake video to learn more about how each child is matched with a volunteer mentor. If you are still interested, please fill in the contact form (below and we will send you an application package.

Contact Us About Your Child's Needs

Parent/Guardian Information
Thank you for contacting us. After you have hit the "submit button" on this form, you will receive an email from us that includes an application package and an invitation for you to attend an upcoming Parent Orientation Session. Please check your junk mail or spam folder if you can't find an email from Big Brothers Big Sisters within four days. You have 60 days to either submit the application form or sign up for a Parent Orientation Session. If we do not hear from you within that time, we will assume that you are not interested in our mentoring programs and your child will not be considered whenever a volunteer mentor becomes available. You can contact us again at any point in the future.
Full Name*
Email*
Street Address*
City and Postal Code*
Phone*
I would prefer to receive the application package
CHILD/YOUTH INFORMATION
Child's Name*
Child's Date of Birth (month/day/year)*

(must be between 7 and 16 years)
Gender of child or youth*
Program of interest*
What school does the child or youth attend
Why do you think the child or youth needs a mentor*
The child or youth is*
Comments
This field is for validation purposes and should be left unchanged.

ENROLLING A YOUNG PERSON

Contact Us About Your Child's Needs

Parent/Guardian Information

CHILD/YOUTH INFORMATION