Youth Inquiry Form

Welcome!

Non-Discrimination Policy

Big Brothers Big Sisters of the Midlands will not discriminate against potential volunteers or youth based on race, religion, national origin or citizenship status, gender, gender identity or expression, sexual orientation, disability or marital status.

Eligibility Requirements

You will need to meet the following criteria before moving forward:

Youth are between the ages of 7 and 14 at the time of enrollment

Resides in the Big Brothers Big Sisters of the Midlands (BBBSM) service area (which includes the counties: Douglas, Sarpy, Cass, Saunders, and Washington in Nebraska / Pottawattamie and Mills in Iowa)

Will reside in the area for at least 12 months to commit to the program

Be able to meet with their Big 2-4 times per month for a total of at least 4 hours per month

Youth shows a desire to be matched in the program

Have a custodial parent/guardian that will demonstrate a supportive and cooperative attitude toward BBBSM and abide by the Agency's policies and guidelines

Must not be involved in another mentoring program (ex. Teammates, 100 Black Men, etc.)

Should you have questions about the enrollment criteria, you may reach out to our Director of Enrollment, Steven Edge, at 402-905-3345 or at sedge@bbbsomaha.org

Is this youth in the foster care system?

YesNo

Is this youth between the ages of 7 and 14?

YesNo

Unfortunately, we are unable to continue with the enrollment of this youth. Our program requires those enrolling to be 7-14 years of age.

Please contact our Director of Enrollment, Steven Edge, if you have any questions or concerns at 402-905-3345 or sedge@bbbsomaha.org.

Is this youth between the ages of 7 and 15?

YesNo

Unfortunately, we are unable to continue with the enrollment of this youth. Our program requires youth in foster care to be 7-15 years of age when enrolling.

Please contact our Director of Enrollment, Steven Edge, if you have any questions or concerns at 402-905-3345 or sedge@bbbsomaha.org.

Thank you! Please proceed to the next page.

To enroll this youth, please complete our inquiry form:

CLICK HERE

You may contact our Foster Care Enrollment Coordinator, Sarah Chevalier, if you have any questions or concerns at 402-905-3348 or schevalier@bbbsomaha.org.

Parent/Guardian Orientation

Thank you for your interest in learning more about joining the Big Brothers Big Sisters Community-based Program!

Please watch the Parent/Guardian Orientation video and complete the brief questionnaire below it to review what you've learned in the video. Make sure that you find the time and space to do so that will provide you the least amount of distractions.

If you have specific questions about our program or enrollment process, please contact our Director of Enrollment, Steven Edge, at 402-905-3345 or sedge@bbbsomaha.org.

Parent/Guardian Orientation Questionnaire

Question 1: As the parent/guardian to my child’s match, I am expected to:

Question 2: Which of the following statements is true:

Question 3: How long will it take for my child to be matched?

Question 4: Who do I contact at BBBSM when issues arise in my child's match or I want to share a positive moment between my child and their Big?

**Please note that your results may be considered in the acceptance of your child/children.**

Youth Information

First Name

Last Name

Application Name

Concatenated from First + Last

Birthdate

Age

Gender

How does the youth identify?

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Guardian's Relationship to Youth

Mobile Phone

Personal Email

I prefer to be contacted by

Zip Code

Additional Information

How did you hear about Big Brothers Big Sisters?

Type to search (please be specific)

Were you referred to us by a Parent/Guardian, Big, staff, or board member that is currently in our program?

YesNo

If so, please enter their full name here, if possible.

Referral Detail ID

What's Next?

Next, you'll need to complete the application and schedule your interview with us.

The enrollment process is self-paced and takes about 10 minutes to complete (not including the interview with our staff). If you're ready to move forward, continue on to complete the application by clicking "Submit" below.

If you're not ready right now, you'll receive an email with a link to the Youth Application after submitting your inquiry below. That way you can complete the application, when you are able to at a later time.

Thank you for your interest in Big Brothers Big Sisters of the Midlands,

and we look forward to meeting you soon!

**Please check your primary AND junk folders for any follow-up emails from BBBSM, FormAssembly, or Acuity Scheduling moving forward.**