Foster Care Youth Inquiry
Welcome!
Non-Discrimination Policy
Big Brothers Big Sisters of the Midlands will not discriminate against potential volunteers or youth based on race, religion, national origin or citizenship status, gender, gender identity or expression, sexual orientation, disability or marital status.
Eligibility Requirements
You will need to meet the following criteria before moving forward:
Youth must be 7 to 15 years of age
at the time of enrollment
Resides in the Big Brothers Big Sisters of the Midlands (BBBSM) service area (which includes the counties: Douglas, Sarpy, Cass, Saunders, and Washington in Nebraska / Pottawattamie and Mills in Iowa)
Will reside in the area for
at least 12 months
to commit to the program
Be able to meet with their Big 2-4 times per month for a total of at least 4 hours per month
Youth shows a desire to be matched in the program
Have a custodial parent/guardian that will demonstrate a supportive and cooperative attitude toward BBBSM and abide by the Agency's policies and guidelines
Must not be involved in another mentoring program (ex. Teammates, 100 Black Men, etc.)
Should you have questions about the enrollment process, you may reach out to our
Foster Care Enrollment Coordinator, Sarah Chevalier, at
402-905-3348
or
schevalier@bbbsomaha.org
.
Youth Information
First Name
Last Name
Preferred Name
Application Name
Concatenated from First + Last
Birthdate
Gender
Please select...
Male
Female
Trans Male
Trans Female
Genderqueer/Nonbinary
Different Identity
Prefer not to say
Write In
How does the youth identify?
Personal Pronouns
Please select...
He, Him
She, Her
They, Them
Write In
What pronouns does the youth prefer?
Guardian Information
Guardian First Name
Guardian Last Name
Guardian's Relationship to Youth
Please select...
Mother
Father
Step-Mother
Step-Father
GrandMother
GrandFather
Aunt
Uncle
Relative: Other
Foster Parent
Teacher
Counselor
Clergy
Probation Officer
Non-Relative: Other
Self-Emancipated Minor
Social Worker-Case Mgr
Mobile Phone
Personal Email
I prefer to be contacted by
Please select...
Phone
Email
Zip Code
Social Worker/Case Manager Information
Social Worker/Case Manager First Name
Social Worker/Case Manager Last Name
Social Worker/Case Manager Phone
Social Worker/Case Manager Email
Name of Service Organization (ex. St. Francis, Lutheran Family, Child Saving Institute, etc.)
Additional Information
How did you hear about Big Brothers Big Sisters?
Type to search (please be specific)
If
referred to us by a current Parent/Guardian, Big, staff, or board member in our program
, please enter their full name, if possible, here.
Referral Detail ID
What's Next?
Next, our Foster Care Enrollment Coordinator, Sarah, will be in contact with your assigned caseworker to acquire some pre-screen information and release forms so that you may continue with the enrollment process.
Once we have everything we need from your caseworker, we will have you complete the:
Parent/Guardian Orientation
Youth Application; and
Schedule your interview with us through Acuity Online Scheduling.
Thank you for your interest in
Big Brothers Big Sisters of the Midlands,
and
we look forward to meeting you soon!
**Please check your primary AND junk folders for any follow-up emails from BBBSM, FormAssembly, or Acuity Scheduling moving forward.**
Contact Information