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Non-Discrimination Policy
Our participants come to us with a wide range of personal characteristics. We believe that participant eligibility shall be determined without regard to race, color, religion, national origin, gender, marital status, sexual orientation, gender identity, veteran status, or disability. 

CHILD APPLICATION

Agency Location & Program Selection

Central Ohio Programs
Program Descriptions
  • Community-Based: Matches meet one-on-one out in the community 2 times a month. 
  • School-Based Plus: Matches meet out in the community as well as in their school setting.
  • School-Based Facilitated: Matches meet in a supervised school setting during the day or after-school. Bigs and Littles may not communicate outside of school mentoring sessions.

East Central Ohio Programs
Program Descriptions
  • Community-Based: Matches meet one-on-one out in the community 2 times a month. 
  • School-Based Plus: Matches meet out in the community as well as in their school setting.
  • School-Based Facilitated: Matches meet in a supervised school setting during the day or after-school. Bigs and Littles may not communicate outside of school mentoring sessions.

South Central Ohio Programs
Program Descriptions
  • Community-Based: Matches meet one-on-one out in the community 2 times a month. 
  • School-Based Facilitated: Matches meet in a supervised school setting during the day or after-school. Bigs and Littles may not communicate outside of school mentoring sessions.

Greater Cleveland Programs
Program Descriptions
  • Community-Based: Matches meet one-on-one out in the community 2 times a month.


If your child's school is not available please select the community-based program.
Hidden Fields
For notifications

Big Brothers Big Sisters of Central Ohio and Subsidiaries serves 15 Ohio counties. Please select the location which serves the county you reside in. If you do not reside in one of these counties, please CLICK HERE to find your local Big Brothers Big Sisters location.

BBBS of Central Ohio – Clark, Delaware, Franklin, Madison, Morrow and Union
BBBS of Greater Cleveland – Cuyahoga
BBBS of East Central Ohio – Carroll, Harrison, and Tuscarawas
BBBS of South Central Ohio – Fayette, Highland, Pickaway, Pike and Ross


bbbs

CHILD APPLICATION

All information on this application is confidential.  We use this information to assist in matching your child and for grant funding only.
Child Information




e.g. Jr, III


Enter a date in the following format: mm/dd/yyyy




Press CTRL while choosing to select multiple


Use THIS LINK to determine graduation year by grade.


Enter numbers only starting with area code












Guardian Information
Input format: mm/dd/yyyy
Enter numbers only starting with area code
Enter numbers only starting with area code
Enter numbers only starting with area code
Optional
Optional
Type NA if unemployed


Family Information
Physical Address


i.e Franklin County Children's Services
Emergency Contact
In the event you cannot be reached please provide an emergency contact:

The following information will help assist us in matching your child to a screened Big (volunteer).


Check all that apply


Check all that apply


Check all that apply





Check all that apply





South Central Policies/Release Form

BBBS of South Central Ohio Child Permission Form

  1. I give my permission for my child to participate in the Big Brothers Big Sisters program. I understand that Big Brothers Big Sisters of South Central Ohio is not obligated to match my child with a volunteer and that as part of the enrollment process, I will be asked to provide personal information. If my child is matched with a Big Brother or Big Sister I agree to support my child's match and to immediately report any concerns I might have to the staff of Big Brothers Big Sisters of South Central Ohio.

  2. I request that the Big Brothers Big Sisters of South Central Ohio determine eligibility for mentoring services for my child (ren). The services offered include individual, couples and family matches.  I understand that I have the right to accept, or not accept, any volunteer(s) chosen as a mentor for my child(ren).  I will abide by the rules and responsibilities established by the association to help make the best match possible for my child(ren).  I understand that my signature does not guarantee that a volunteer will be found for my child(ren). 

  3. I grant my child’s school permission to share my child’s school information (i.e. attendance, behavior, grades) with Big Brothers Big Sisters of South Central Ohio to benefit growth and education within the community and classroom settings. I allow representatives of Big Brothers Big Sisters of South Central Ohio to discuss this information as well as related non-academic information that supports the goals defined above, with school officials and approved representatives of other agencies that have consent. I also understand my consent to and authorization of the disclosure and release of this information to Big Brothers Big Sisters shall continue for the time my child participates in the program or until such time as I revoke my consent in writing, whichever occurs first. 

  4. I understand that my child’s school information may be used to confirm application requirements, provide match support and guidance, and for statistical purposes. Big Brothers Big Sisters of South Central Ohio agrees to maintain the confidentiality of my child’s information.

  5. I understand that my child’s school information may be used for the purposes of discussions with my child’s Mentor.  This includes but is not limited to, my child’s transcript and grade card at the end of the nine-week grading period.  I understand this information could be shared with my child’s Mentor so they may engage in discussions about education and future goals, and to help support my child through the mentoring relationship.

  6. I hereby authorize Big Brothers Big Sisters of South Central Ohio and/or the Volunteer Big to take my (son/daughter) on any and all outings, trips or visits to participate in any and all sports or entertainment activities without restriction.
    • I further release and agree to hold Big Brothers Big Sisters harmless from any and all claims, damage, liability, costs or expenses, including attorney's fees, resulting from property damage or personal injury to or death of my (son/daughter) in connection with any such permitted activity. I grant to Big Brothers Big Sisters a power of attorney to act in my place to authorize and consent to emergency medical treatment of any kind to be administered to my (son/daughter) as required or deemed advisable by Big Brothers Big Sisters.

Parent/Guardian Overnight Policy and Volunteer Home Visits

 

  • It is the policy of Big Brothers Big Sisters affiliates that overnight trips, or overnight stays of any kind by a Volunteer Big with their Little, are strictly prohibited. A match’s failure to observe this policy will result in match termination. Minimal exceptions may be made with specific requirements and is ultimately at the sole discretion of the Big Brothers Big Sisters affiliate.

  • I understand that my child should not be visiting the Volunteer’s home for the first 3 months of the match.

Digital Networking Policy

Big Brothers Big Sisters of South Central Ohio recognizes that social networking on the internet is prevalent for volunteers, mentees and mentees’ families. To protect our children and their families, we expect volunteers to adhere to the following BBBSSCO Digital Technology and Social Networking Policy, to ALL guidelines defined by social media sites, and to ALL state and federal laws. BBBSSCO reserves the right to monitor the social networking activities of volunteers, and to request that a volunteer delete inappropriate information from a social media site. If a volunteer is seen using social networking in an excessively inappropriate manner, his or her relationship with our organization could be terminated.


1.   Child Safety and Appropriate Social Networking
Child safety is our #1 priority.  Volunteers choosing to engage in social media are expected to maintain an appropriate presence on social media, even if they are not “connected” with their mentee through social media sites. Volunteers serve as role models for a child and the community.
  • Volunteer should ensure that posts, tweets, photos and comments are appropriate and kid-friendly.
2.  Confidentiality and Privacy
BBBSSCO requires its volunteers to respect the confidentiality and privacy of the children and families of Big Brothers Big Sisters in every respect, including social networking. This applies even if the volunteer is not “connected” with their mentee through social media sites. Volunteers must follow these requirements regarding confidentiality on their own and others’ social media sites.
  • Written parental permission is required to post, share or tweet photos or videos of their mentee.
  • Never post, share, tweet or tag their mentee’s full name, location, city, address, school or other personal information such as where his/her parent/guardian works.
  • Volunteers should not use geo-positioning applications when they are with their mentee.
3.  “Connecting” with Mentees Through Social Networking
Mentors in a Community-based or Dual match may not initiate or accept an invitation to “connect” or “follow” his/her Little or member of the Little’s family on any social media site without written parental permission. School Based matches are not permitted to communicate on social media in any way.

Media Consent & Release Form
I irrevocably consent for myself and Minor Child named below to any and all uses and displays of my or Minor Child’s name, image, likeness, appearance, basic biographical information, audio/video recordings, writings, artwork, and the like, in original form or in modified form, in whole or in part, in, on, or in connection with merchandise, advertising, publicity, marketing, fundraising, and the like, in printed or electronic media, of any type, throughout the world at any time by Big Brothers Big Sisters of America and Big Brothers Big Sisters of South Central Ohio in their sole discretion, and by any of their affiliates, successors, partners, sponsors, donors, any entities or persons with whom they conduct any public relations, marketing, or fund raising of any type, and any other authorized third parties, without further consent from me or Minor Child, without any royalty, payment, or other compensation to me or Minor Child, and with the release and waiver of any claims, actions, damages, losses, costs, expenses and liability of any kind arising from any such use (the “Released Material”).
In consideration of the mutual promises made herein, and for other good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge, I hereby grant to BBBSA and its affiliates the right to use the Released Material as BBBSA and/or its affiliates may desire, in all media now existing or hereafter created and in all variations and forms including, but not limited to, internal or external publications or productions, informational or recruitment materials, marketing materials, fundraising materials, televised photography and/or recordings, advertisements, Public Service Announcements, and/or online and social media sites. The use of this information shall be at the sole discretion of BBBSA and/or its affiliates.

I further grant to BBBSA and its affiliates the absolute right to use the Released Material in whole or in part, alone or in conjunction with any other image, name, writings or reproduction, in color or otherwise, for art, advertising, business, trade, or any other lawful purpose whatsoever, in perpetuity throughout the world.

I understand and agree that all materials created by BBBSA and/or its affiliates that use the Released Materials are the property of and are owned by BBBSA, and that I cannot authorize their use by any other party.  I further understand that BBBSA may authorize their use by a third party. I hereby irrevocably transfer and assign to BBBSA my entire right, title and interest, if any, in and to the Released Materials and all copyrights in the Released Materials arising in any jurisdiction throughout the world, including the right to register and sue to enforce such copyrights against infringers.

I acknowledge and agree that I have no right to review or approve the Released Materials before they are used by BBBSA and/or its affiliates, and that BBBSA has no liability to me or Minor Child for any editing or alteration of the Released Materials or for any distortion or other effects resulting from BBBSA’s and/or its affiliates’ editing, alteration or use of the Released Materials.  BBBSA has no obligation to use the Released Materials or to exercise any rights given by this Consent and Release Form.

I hereby release BBBSA and its affiliates, employees, and agents, as well as any partner companies, from all claims, demands or liabilities and related financial costs that I or Minor Child may now or hereafter have arising in connection with BBBSA’s exercise of the rights hereby granted, and/or with the appearance or the Released Materials in any publication or production. These include, without limitation, claims for compensation, defamation, or invasion of privacy, or other infringements or violations of personal or property rights of any sort whatsoever.
Weapons Policy - Parent/Guardian
While some adults possess weapons for hunting and/or protection purposes, it is the policy of Big Brothers Big Sisters that all agency volunteers agree to inform BBBS of the ownership of weapons or the presence of weapons in the home. Volunteer Bigs must disclose any firearms and/or weapons ownership both at enrollment and throughout the life of the match.  
BBBS staff will discuss the ownership of weapons during the volunteer’s interview and/or home assessment.  For purposes of this policy, “weapons” include all firearms, handguns, zip guns, knives (except for kitchen knives and small pocket knives not used or intended for use as a weapon or to inflict bodily injury) and explosive devices.  

Volunteers (Bigs) must agree to::
  1. Ensure that weapons and ammunition are inaccessible to any child in the BBBS match, and to any other child participating in a BBBS activity, while the child is under the volunteer's supervision.  The means of ensuring the inaccessibility will be discussed during the interview and/or home visit.
  2. Attest that any weapons, firearms or ammunition ownership is licensed, permitted, registered and handled in accordance with all applicable state and federal laws.
  3. A volunteer will not carry a concealed handgun at any time while accompanying the child assigned by BBBS or accompanying any other child participating in a BBBS activity (with the exception of law enforcement officers who are required to carry a weapon at all times)
  4. BBBS will inform the parent/guardian of the matched child about the agency’s weapons policy, and if the volunteer has stated the ownership of a weapon or the presence of a weapon in the home. The parent/guardian will sign an acknowledgment page at the match introduction, and the volunteer will sign an acknowledgment of the ownership of a weapon during enrollment, copies will be kept in both files.
  5. To obtain permission from the child’s parent/guardian and from BBBS before engaging in any activity in which a weapon may be used with the child assigned by BBBS or with any other child participating in BBBS activities. 
  6. Abide by any other policy or procedure that BBBS may put into effect regarding weapons.
  7. BBBS requires that a child under the age of 18 to participate in a gun safety course prior to using a firearm. Volunteers are requested to provide their BBBS staff member a copy of the completed gun safety course prior to engaging in activities with weapons.  
Authorization for Release of Information

The purpose for the disclosure of this information is to determine appropriateness for the child to be matched with a screened volunteer that will meet face to face two times per month out in the community.

  • Start/End date(s) of counseling
  • Diagnosis/Prognosis
  • Date(s) of diagnosis/hospitalization (if applicable)
  • Any other pertinent information

First and Last Name

Contact Information