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:
Best way to reach you:
Phone/text
Email
Street:
City
Zip
Date of request
Family Size
Average Household Income:
Are you eligible for free/reduced lunch?
Yes
No
Reason for request (Please d
escribe in detail the emergency or hardship that made this request necessary
):
Resource you are looking for assistance for:
Extra curricular activity
Clothing or household needs
Drivers Education assistance
Informational resources/referrals to community organizations
What drivers education organization will you (Little)/your child be going through (i.e. Drivers Education of the Fox Cities, Tri County Driving School, etc.). Also, please list if you/your child plans to take the class through their school or directly through the drivers ed organization)
Have you already registered for the drivers education class that you are requesting assistance for?
Yes
No
Please describe in detail your need/request:
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 already 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