BBBSMC Community Based Match Closure Form

Match Support Specialist Name

Match ID from MatchForce

Instructions: to get a Match ID from MatchForce click on the URL when on the match's main page. The 18 digit code towards the end is the Match ID. Please copy/paste it below.

Example: https://bbbsa.lightning.force.com/lightning/r/Match__c/a1v2J0000027BgDQAU/view

Match Name (Youth Last Name / Mentor Last Name)

Youth Name

Mentor Name

Is this closure participant-initiated or agency-initiated?

Please describe the match relationship, including success and challenges.

Match Closure Date

Has this match been open less than 12 months?

No, matched longer than 12 months.Yes, this is a premature closure.

Closure Letter Sent (M/D/YYYY)

Are there any concerns about child safety ?

Yes, there are child safety concerns.No, this is not a safety related closure.

Did you discuss this match closure with a program leader?

NOTE: All child safety concerns should be discussed with Manager of CB Match Support and Director of Community Based Program.

Match Closure Reasons

Closure Reason

Closure Details

Final Meeting Details

Match Closure Meeting Status

Complete: Final outing was planned and attended.
Attempted - Incomplete: MSS recommended a final outing but none was had.
Not Attempted: MSS did not recommend a final outing.
Not Required (Child Safety): Due to a child safety concern MSS did not recommend a final outing.

Mentor Re-Engagement

Re-Engage Big?

Rematch Questionnaire

Participant Address

For participants whose match was closed less than 12 months ago, should E&M conduct an over the phone interview or an in-person interview? Please indicate why if requesting an in-person interview:

If selecting an in-person interview, why does this participant require an in-person interview?

If recommended for rematch, what are your specific matching recommendations for this Little?

Youth Re-Engagement

Re-Engage Little?

Rematch Questionnaire

Participant Address

For participants whose match was closed less than 12 months ago, should E&M conduct an over the phone interview or an in-person interview? Please indicate why if requesting an in-person interview:

If selecting an in-person interview, why does this participant require an in-person interview?

If recommended for rematch, what are your specific matching recommendations for this Little?

Contact Information