Match Meeting Document Confirmation Match Meeting Document Confirmation Who is your Mentoring Coordinator (BBBS Staff Person)?(Required) Adrianna Kipp Alexis Gardner Ashley Adams Lauren Goostrey Mary MacLeod-Beaver Match Start Date:(Required) MM slash DD slash YYYY MentorThe Mentor's Responsibilities(Required) By typing my name below, I am agreeing to the following statements as well as the 'Rules of the Mentoring Match' as outlined on the Match Agreement form.1. I will be a positive role model to my Little. 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’m running out of ideas I will contact my 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 Little while on outings. I will model safe behavior, and supervise my Little at all times during outings. 6. I will let my Little set the speed at which our friendship develops... that’s why we have a whole year! 7. I will never consume alcohol or illegal drugs prior to or during outings or smoke during outings. 8. I agree to fulfill the commitment of meeting with my Little for 2-4 hours/week for 1 year. 9. I agree to fulfill Match Monitoring Requirements as outlined on the Match Monitoring Info Form.Name of Mentor:(Required) First Last Mentor Signed Match Agreement on:(Required) MM slash DD slash YYYY Mentor's Email Address:(Required) Parent/GuardianThe Parent/Guardian's Responsibilities:(Required) By typing my name below, I am agreeing to the following statements as well as the 'Rules of the Mentoring Match' as outlined on the Match Agreement form.1. I will ensure that my child is on time and prepared for each outing, including dressed appropriately for the occasion and with money if it is necessary for the activity. 2. If my child is 8 yrs or younger I will provide a Booster Seat for our Big to use when driving my child. 3. I will ensure my child is returning phone calls from our Big 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 our Big. 6. I will share appreciation with our Big and encourage my child to do the same! 7. I agree to fulfill Match Monitoring Requirements as outlined on the Match Monitoring Info Form. Name of Parent/Guardian:(Required) First Last Parent/Guardian Signed Match Agreement on:(Required) MM slash DD slash YYYY Parent/Guardian Email(Required) MenteeThe Mentee's Responsibilities(Required) By typing my name below, I am agreeing to the following statements as well as the 'Rules of the Mentoring Match' as outlined on the Match Agreement form.1. I will be on time and ready to go for outings with my Big. 2. I will help my Big come up with a list of things we can do together. 3. I will tell my Big 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 Big when I’ve had a good time and thank my Big for being a part of my life! 7. I agree to fulfill Match Monitoring Requirements as outlined on the Match Monitoring Info Form. 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 Match Agreement on:(Required) MM slash DD slash YYYY Mentoring Coordinator's Email Address:(Required) Facebook Twitter Google+ LinkedIn
