JBBBSLA Info Session Registration - Parents/Guardians

The child/ren I wish to enroll identify as Jewish

YesNo

The child/ren I wish to enroll is/are aged between 6-17 years old

YesNo

Non-Discrimination Policy

Our participants come to us with a wide range of personal characteristics. Participant eligibility shall be determined without regard to race, color, national origin, gender, sexual orientation, gender identity, or disability.

Information Session Details

Thanks for your interest in our Youth Mentoring Program!

The first step is for you to join one of our 30-minute virtual Info Sessions. This is the best way for you to get an overview of our 1-1 Mentoring Program, including information about eligibility, the mentor’s role, our safeguards for youth protection, match outings, agency supports and more. You will select the session on the next page. Following your attendance, we will schedule time for you with one of our enrollment staff.

Upcoming Info Sessions for Parent/Guardians:

Thursday, January 15th, 2025 (6:30-7:00pm)

If you have any immediate questions, please contact Enrollment & Mentoring Specialist, Diana Krause-Leemon (diana@jbbbsla.org). In the meantime, we hope to meet you at an Info Session soon!

Youth Information

Enrollment Record ID

Contact Record ID

PG Contact Record ID

First Name

Last Name

Preferred First Name

Birthdate

Gender

How does the youth identify?

Personal Pronouns

What pronouns does the youth use?

Street Address

If applicable, please include Apartment/Unit No.

City

State

Zip Code

Zip Code's Agency Location

I would like to register another child:

YesNo

2nd Youth Information

First Name

Last Name

Preferred First Name

Birthdate

Gender

How does the youth identify?

Personal Pronouns

What pronouns does the youth use?

Parent/Guardian (P/G) Information

P/G First Name

P/G Last Name

P/G's Relationship to Youth

Phone

Personal Pronouns

What pronouns do you use?

How did you hear about Jewish Big Brothers Big Sisters of LA?

Please list the specific NAME related to your answer above (e.g., name of individual or Big, synagogue, or website, etc.)

Concatenated Referral Detail Type & Source

Please tell us briefly why you would like a mentor for your child

Completing this form indicates you are interested in learning more about JBBBSLA's Youth Mentoring program via an online Information Session for parents/guardians at the time and date selected. You will receive an email confirmation of your registration shortly.

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.

Please click SELECT DATE below to schedule your Info Session. You will receive an email confirmation and Zoom link after you have made your selection.

Other Agency Opportunities

Our one-to-one mentoring program requires that children be 6-17 years old, of the Jewish faith, and living in Los Angeles. If you are interested in a non-denominational one-to-one mentoring program, please contact Big Brothers Big Sisters of Greater LA at (213) 481-3611 or bbbsla.org, or Catholic Big Brothers Big Sisters (which accepts all faiths) at (213) 251-9800 or catholicbigbrothers.org.

We're sorry, but our one-to-one mentoring program requires that children be 6-17 years old.

Contact Information