Enroll a Little

Program Eligibility Requirements

The following are apart of our program requirements. If you do not meet the requirements, then you might not be eligible for our programs. You can call our office (615-329-9191) if you have questions about this.

Each of the following boxes must be checked to submit the form.

My child resides in one of the counties served by BBBSMT. Please select from the following options:

Davidson Rutherford Williamson Wilson Sumner Robertson Cheatham Dickson

My child is between the ages of 9 and 16.

My child consents to actively participate in the program.

I am the legal guardian of this child

I do not have plans to relocate within the next year.

Youth Information

First Name

Last Name

Birthdate

Gender

How does the youth identify?

Race/Ethnicity

Press CTRL while choosing to select multiple

School

Graduation Year from High School

This is the year the youth will graduate.

Grade

12-Grade

Guardian Information

Guardian First Name

Guardian Last Name

Mobile Phone

Personal Email

Please contact me by

Guardian's Relationship to Youth

Zip Code

Have you previously applied?

YesNo

Additional Information

Do you plan to relocate?

YesNo

How did you hear about Big Brothers Big Sisters?

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