Match Meeting Document Confirmation Match Meeting Document Confirmation Who is your Mentoring Coordinator (BBBS Staff Person)?(Required) Adrianna Kipp Alexis Gardner Alysha Vivian Ezra Loggin Jacqueline Sookermany Match Start Date:(Required) MM slash DD slash YYYY Match Rules(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 your Mentoring Coordinator right away. 2. Time spent together: The guideline for meeting is 2 to 4 hours every week. Occasionally, the meeting time will be shorter or longer, depending upon the activity, but for the most part it should fall within that guideline. Sometimes a week is missed. This is perfectly acceptable if the missed meeting is arranged in advance and the next outing has already been scheduled. 3. The one-year commitment: We ask each match for a one-year commitment but hope that the mentoring relationship lasts much longer than that. If all is going well, as you approach the annual-anniversary date, your Mentoring Coordinator will review the match with all parties to decide if the match should continue for another year. Regardless of the length of the match, if something changes for you, and the match cannot continue, please contact your Mentoring Coordinator right away to discuss closing the match in the most positive way possible. 4. Building the relationship. Friendships take time. Don’t rush things - you have a whole year! 5. 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. Some matches prefer to take turns paying for things, which is okay too. If you want to do something more expensive, you must all agree well in advance as it may be necessary to save up for it. As much as possible, try to be creative and help each other think of fun, free or inexpensive things to do together! If you decide to give a gift to the other person, we encourage handmade gifts. Any gifts given to a child should be pre-approved by the parent/guardian. 6. New experiences: Please try to avoid activities that the Mentee could do on their own or already does on a regular basis. For example, if the Mentee often plays video games, try to get them out of the house to try something new. This provides opportunities for building self-esteem. 7. 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. The Mentee can never be left alone with anyone other than the Mentor. 8. Overnight visits are not allowed. 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. 9. The Mentor’s role does not include: disciplining, providing sexual education, providing religious/spiritual education, or acting as a babysitter. 10. No secrets: To protect the child’s safety and promote healthy communication, ensure that there are no secrets. All aspects of the match are to be openly discussed. 11. Going Away: Please advise one another and the Mentoring Coordinator if you will be away for 2 weeks or more. 12. Keeping your information current: Please inform your Mentoring Coordinator right away about changes to your address, phone number, email, who is living in your home, etc. This also ensures you get updates about our various events, free tickets, etc. 13. Ensuring Privacy: When doing activities that require a change of clothing, such as swimming, Mentors and Mentees must change in separate and private changing stalls. At no time can matches see one another undressed. High-Risk 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 your Mentoring Coordinator beforehand. Prohibited Activities We agree that we will not participate in the following types of activities during match meetings:1. full-contact sports, this includes but is not limited to wrestling and martial arts; 2. any form of ‘rough housing’ or ‘tickle-fighting’; 3. being transported in/on or operating motorized vehicles that come from the manufacturer without seats and seat-belts for each individual rider, this includes but is not limited to motorbikes, mopeds, ATV’s, snowmobiles and personal watercraft; 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 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 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. I agree to fulfill the commitment of meeting with my Mentee for 2 to 4 hours/week for one year. 9. I agree to fulfill Match Monitoring Requirements as outlined on the Match Monitoring Information Sheet.Name of Mentor:(Required) First Last Mentor Signed Match 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. I agree to fulfill Match Monitoring Requirements as outlined on the Match Monitoring Information Sheet. Name of Parent/Guardian:(Required) First Last Parent/Guardian Signed Match 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! 7. I agree to fulfill Match Monitoring Requirements as outlined on the Match Monitoring Information Sheet.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) Section BreakConsent I agree to the privacy policy.Consent I agree to the privacy policy.
