BBBS of Greater RochesterGuardian/Youth Inquiry Form

Welcome!

Thank you for your interest in Big Brothers Big Sisters. This is only an inquiry, not an application.  

*****PLEASE NOTE: At this time, we don't have any male mentors.  IF your male child is interested in being matched with a FEMALE mentor, please proceed with the inquiry process.  Otherwise, please check back in 6 months.***** 

**A valid email address is required for communication purposes**

We look forward to talking with you.  

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. 
Youth Information


Concatenated from First + Last







This is the year the youth will graduate.
The parent/guardian is this child's
Parent/Guardian Information





Family Information




Parental Permission
By clicking submit:

I understand that I will be contacted by Big Brothers Big Sisters regarding program enrollment.
I understand that after completing the enrollment process my child may have the opportunity to be matched with an adult mentor who has been screened  by a Big Brothers Big Sisters Coordinator.