BBBS East Central Wisconsin Application for Assistance
BBBS provides assistance in the form of informational resources, referrals to community organizations, and in some special cases, financial aid.
How it works
Eligibility
: To be eligible to apply, you must be currently matched as a participant in a program (Big, Little, or parent/guardian of a Little), or have already been enrolled. Applicants must be in good standing for Match Support or have demonstrated consistent communication throughout the enrollment process, if on the waiting list.
How to apply: Complete this form. Describe in as much detail as possible the emergency or hardship that made this request necessary. You may also speak with your Program Coordinator, if currently enrolled, to provide additional details regarding the circumstance of your request. Your Program Coordinator will be asked to provide a recommendation, so the more information they have, the better. Additional information may be requested by BBBS at any time during the application process.
Applicant
First name of requestee
Last name of requestee
First name of Child Enrolled
Last name of Child Enrolled
Mobile Phone:
Personal Email:
Street:
City
Zip
Date of request
Family Size
Average Household Income:
Reason for request (please provide a description of your current need for assistance):
Please describe what assistance you are looking for:
If applicable, cost of resource/items needed:
Personal contribution (what you can afford to contribute):
Attempted use of community resources (Please let us know what other resources you're currently accessing or have tried to access):
Business/organization name and address, as well as personal contact, you are seeking assistance for (if known at this time - i.e. YMCA, Girl Scouts, name of drivers' education school, etc.)
Is your child currently matched?
Yes
No
Have you already spoken to your Program Coordinator about the requested need?
Yes
No
Contact Information