JBBBSLA Youth Inquiry Form


Thanks for your interest in our Youth Mentoring Program! Please complete and submit the following inquiry form and a member of the enrollment team will get back to you with next steps in the next few days.
Non-Discrimination Policy
Our participants come to us with a wide range of personal characteristics. Participant eligibility shall be determined without regard to race, color, national origin, gender, marital status, sexual orientation, gender identity, veteran status, or disability. 
Youth Information

Parent/Guardian (P/G) Information

Youth's Residential Address

(please include apartment or unit #)

Other Agency Opportunities
Our one-to-one mentoring program requires that children be 6-17 years old, of the Jewish faith, and living in Los Angeles. If you are interested in a non-denominational one-to-one mentoring program, please contact Big Brothers Big Sisters of Greater LA at (213) 481-3611 or via bbbsla.org, or Catholic Big Brothers Big Sisters (which accepts all faiths) at (213) 251-9800 or via catholicbigbrothers.org.