Youth Inquiry/ Referral
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 ages 6-14 are eligible for this program. The youth must be open and willing to participate in a mentorship program. Matches participate in activities of mutual interest.
Agency provides monthly sponsored activities such as fishing, golf lessons and baseball games.
School to Work:
High School Students that reside in Palm Beach or Martin County are eligible for this program. The Mentor and Student work together virtually on developing employability and life skills, increasing the student's social capital, plans after graduation and financial literacy. The student will participate in career exploration activities in person in June.
Program available available at participating Elementary Schools.
Concatenated from First + Last
Prefer not to say
How does the youth identify?
What pronouns does the youth use?
Name of Individual Completing Form:
Name of Agency Submitting Referral:
Email/ Phone Number of Individual Completing Referral
Guardian's Relationship to Youth
By completing this form, you confirm that the guardian and child are interested in being contacted by BBBS. The individual completing this form is the child's:
Social Worker-Case Mgr
Guardian First Name
Guardian Last Name
Mailing Zip Code
How did you hear about Big Brothers Big Sisters?
Referral Detail ID