Youth Inquiry Form


Non-Discrimination Policy
Big Brothers Big Sisters of Siouxland 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 are between the ages of 6 and 13 at the time of enrollment
  • Resides in the Big Brothers Big Sisters of Siouxland's service area (which includes the counties: Woodbury, Plymouth, Union, Dakota)
  • 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 BBBS and abide by the Agency's policies and guidelines

Should you have questions about the enrollment criteria, you may reach out to our Enrollment Specialist, Aldo Moreno
Call/Text: 712-333-6139 Email: 

Parent/Guardian Orientation

Thank you for your interest in learning more about joining the Big Brothers Big Sisters Community-based Program!

Please watch the Parent/Guardian Orientation video and complete the brief questionnaire below it to review what you've learned in the video. Make sure that you find the time and space to do so that will provide you the least amount of distractions.

If you have specific questions about our program or enrollment process, please contact our Enrollment Specialist, Kenda Windeshausen
Call/ Text: 712-333-6139 Email:
Parent/Guardian Orientation Questionnaire

**Please note that your results may be considered in the acceptance of your child/children.**

Youth Information

Concatenated from First + Last

Unfortunately, we are unable to continue with the enrollment of this youth. Our program requires those enrolling to be 6-13 years of age.

Parent/Guardian Information

Social Worker/Case Manager Contact Information

Additional Information
Type to search (please be specific)

What's Next?

Next, our enrollment specialist will reach out to you with a link to our online application. You'll then need to complete the application and schedule an interview with us. 

The enrollment process is self-paced and takes about 10 minutes to complete (not including the interview with our staff, collection of additional counseling forms, and completion of online training). If you're ready to move forward, continue on to complete the application by clicking "Submit" below.

Please let our enrollment specialist know if you have any questions or concerns. 

Thank you for your interest in Big Brothers Big Sisters of Siouxland,
and we look forward to meeting you soon!
**Please check your primary AND junk folders for any follow-up emails from BBBS, FormAssembly, or Acuity Scheduling moving forward.**