Youth Application

Youth Application

Big Brothers Big Sisters of Northwest Arkansas creates and supports one-to-one mentoring relationships that ignite the power and promise of youth.

In order to find the best mentor for your child, we want to learn more about your child and family. The information we gather is held confidential as part of the application process. Our organization does not discriminate against age, race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

This application will take approximately 15 minutes to complete. This form must be filled out by the child's legal guardian.

Child Information

Please provide basic information about the child who would benefit from mentorship.




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Parent/Guardian Information

Please provide your contact information and household details.
















Family & Financial Information

This information helps us understand your family's circumstances and identify available resources.





Background & Special Circumstances

Please share any relevant background information that may help us better understand your child's situation.





Mental Health & Support Services

Understanding your child's mental health and current support services helps us provide appropriate mentoring.



Understanding your child's need for a mentor

Our organization matches youth with mentors based on shared interests, lived experiences, and proximity in distance. Please share more information on why you are interested in enrolling your child at Big Brothers Big Sisters and what you are hoping your child will gain through mentorship.






Hidden Fields




Contact Information