Youth Application

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Non-Discrimination Policy
Our participants come to us with a wide range of personal characteristics. We believe that participant eligibility shall be determined without regard to race, color, religion, national origin, gender, marital status, sexual orientation, gender identity, veteran status, or disability. 
Enrollment Steps
  1. Parent/custodial adult will complete a Youth Application.
  2. Parent/custodial adult will review enrollment and orientation information with BBBS staff.
  3. Parent and youth will schedule an interview with Big Brothers Big Sisters staff (in the home or BBBS office, virtual options available). Please plan for about 1 ½ hours.
  4. Parents must complete Your Child’s Guide to Personal Safety Training online or with BBBS staff.
  5. Youth will be ready to be matched and notified when an appropriate volunteer becomes available. BBBS staff will introduce the Big, Little and parent at the time of the match.
Site Based Program
The Site-Based Mentoring Program matches elementary and middle school students (Littles) with high school or adult mentors (Bigs). Mentors commit to meeting with their mentees twice a month for at least one school year. During these visits, Bigs and Littles participate in activities like crafts, games, sports, and guided projects. These consistent interactions help Littles build self-confidence, strengthen peer relationships, and connect with a caring, supportive role model. The goal is to develop a lasting and meaningful friendship rooted in trust and shared experiences.
Community Based Program
Many of our Big and Little matches participate in the Community-Based Mentoring Program. These one-on-one relationships are built through regular outings and shared activities that both the Big and Little enjoy—such as walking in the park, visiting museums, attending BBBS of El Paso events, listening to music, or simply spending time talking. Some matches meet on weekends, while others connect during weekday evenings. Each mentoring relationship is unique, with a flexible schedule tailored to fit the needs and availability of the Big and Little.
Hidden Fields
To look up the owner's email for notifications
For notifications
Child's Information
My child's name is:                                                                           



Their birthday is: 




Hold CTRL+F to select multiple

This is the year the youth will graduate.

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Guardian Information
I am the parent or guardian of the child applying.             
         
                 
My Name is:                                      


Please call my 
first. 
The best time for me to speak on the phone is:
Please email my
email first. 
First Name
Last Name

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Family Information

Home Address
Emergency Contact
If we are unable to reach you, who is someone we could call who always knows how to reach you? This person needs to be 18 or older. 
Emergency Contact Outside the Home
If we are unable to reach you or the person you just listed, who is someone else we could call who always knows how to reach you who does not live with you? This person needs to be 18 or older. 

Additional Questions





Other Siblings and Relatives in the Program
Please choose this child's relationship to the following people:



































We will make every effort to honor your preferences for your child's mentor. BBBS does not discriminate on the basis of race, ethnicity, gender, gender presentation, marital status, sexual orientation, or religion.
Media Consent and Release
I hereby give my permission for Big Brothers Big Sisters of El Paso (BBBSEP) and Big Brothers Big Sisters of America (BBBSA) to use my image and/or the minor youth named in this application, any and all uses and displays of my or Minor Child’s name, image, likeness, appearance, basic biographical information, audio/video recordings, writings, artwork, and the like, in original form or in modified form, in whole or in part, in, on, or in connection with merchandise, advertising, publicity, marketing, fundraising, and the like, in printed or electronic media, of any type, throughout the world at any time by Big Brothers Big Sisters of America and BBBSEP in their sole discretion, and by any of their affiliates, successors, partners, sponsors, donors, any entities or persons with whom they conduct any public relations, marketing, or fund raising of any type, and any other authorized third parties, without further consent from me or Minor Child, without any royalty, payment, or other compensation to me or Minor Child, and with the release and waiver of any claims, actions, damages, losses, costs, expenses and liability of any kind arising from any such use (the “Released Material”).
In consideration of the mutual promises made herein, and for other good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge, I hereby grant to BBBSA and its affiliates the right to use the Released Material as BBBSA and/or its affiliates may desire, in all media now existing or hereafter created and in all variations and forms including, but not limited to, internal or external publications or productions, informational or recruitment materials, marketing materials, fundraising materials, televised photography and/or recordings, advertisements, Public Service Announcements, and/or online and social media sites. The use of this information shall be at the sole discretion of BBBSA and/or its affiliates.

I further grant to BBBSA and its affiliates the absolute right to use the Released Material in whole or in part, alone or in conjunction with any other image, name, writings or reproduction, in color or otherwise, for art, advertising, business, trade, or any other lawful purpose whatsoever, in perpetuity throughout the world.

I understand and agree that all materials created by BBBSA and/or its affiliates that use the Released Materials are the property of and are owned by BBBSA, and that I cannot authorize their use by any other party.  I further understand that BBBSA may authorize their use by a third party. I hereby irrevocably transfer and assign to BBBSA my entire right, title and interest, if any, in and to the Released Materials and all copyrights in the Released Materials arising in any jurisdiction throughout the world, including the right to register and sue to enforce such copyrights against infringers.

I acknowledge and agree that I have no right to review or approve the Released Materials before they are used by BBBSA and/or its affiliates, and that BBBSA has no liability to me or Minor Child for any editing or alteration of the Released Materials or for any distortion or other effects resulting from BBBSA’s and/or its affiliates’ editing, alteration or use of the Released Materials.  BBBSA has no obligation to use the Released Materials or to exercise any rights given by this Consent and Release Form.

I hereby release BBBSA and its affiliates, employees, and agents, as well as any partner companies, from all claims, demands or liabilities and related financial costs that I or Minor Child may now or hereafter have arising in connection with BBBSA’s exercise of the rights hereby granted, and/or with the appearance or the Released Materials in any publication or production. These include, without limitation, claims for compensation, defamation, or invasion of privacy, or other infringements or violations of personal or property rights of any sort whatsoever.

COPPA Parental Consent
Notice to Parents In compliance with the Children’s Online Privacy Protection Act (COPPA), parents (or legal guardians) of children under 13 years of age must consent to collections, uses and disclosures of the personal information of their children collected by Big Brothers Big Sisters of El Paso on Big Brothers Big Sisters of El Paso and Big Brothers Big Sisters NATIONAL websites, including www.bbbsep.org, bbbs.org, MatchForce (Salesforce), forms.bbbs.org, Form Assembly and formstack.io. Your permission is required for the collection, use, or disclosure of your child’s personal information. We will not grant your child access to any BBBS website account unless you provide us with permission. BBBS website and social media accounts provide access to BBBS content, materials, and resources relating to BBBS programs and activities.
You may revoke your consent at any time to refuse further collection and use of your child’s information. If you desire to revoke this consent, please write down your revocation of consent and scan and mail it to us at 1724 Wyoming, El Paso, TX, 79902.
Digital Technology and Social Networking Policy
Additional Agency Policies
Permission Form and Release of Liability
By signing below, I give permission:
  1. For my child to participate in the Big Brothers Big Sisters Program; 
  2. For the volunteer matched with my child, who has been screened and approved by Big Brothers Big Sisters, to personally interact with my child to events and match activities, if applicable and allowed by program type;
  3. For the school to provide social and academic information about my child to Big Brothers Big Sisters (e.g. report cards, behavior reports); 
  4. To have my child participate in an intake interview conducted by Big Brothers Big Sisters staff and complete questionnaires throughout their time in the program containing questions about school, home life, the match, and personal interests to evaluate and improve program services; 
  5. To have my child talk with a Big Brothers Big Sisters staff person about personal safety; 
  6. For BBBS staff to provide contact information for me and my child to the volunteer.
  7. Information will be released to other individuals or non-BBBS organizations only with the client or volunteers written consent.
  8. Identifying information regarding clients and volunteers may be used in agency publications or promotional materials unless the client or volunteer requests otherwise.
  9. For the purpose of program evaluation, audit, or accreditation, and with prior approval of the Board of Directors, certain outside bodies such as Big Brothers Big Sisters of America may have access to client and volunteer records.
I understand that the program is not obligated to match my child with a volunteer and that as part of the enrollment process, I will be asked to provide additional information through an in-person interview. I understand that the information I provide in the enrollment process will be kept confidential, unless disclosure is required by law.  I understand that incidents of child abuse or neglect, past or present, will be reported to proper authorities. I understand that certain relevant information about my child will be discussed with the volunteer who is a prospective match (i.e. demographic information, information relevant to volunteer preferences, and information relevant to child-safety and well-being).

I certify that all of the information on this form is true and correct and that all income is reported.  I understand this information is being given for the receipt of federal funds, that the information on this application may be verified, and that deliberate misrepresentation of the information may subject me to prosecution under applicable state and federal laws. I understand this information will not affect my qualification for the program. 

I, on behalf of myself and my child, completely release and forever discharge Big Brothers Big Sisters of El Paso and its employees, agents, members, volunteers and all other persons on its behalf, together with any successors in interest, heirs, attorneys, agents, representatives, and all persons acting by, through, under, or in concert with them from all known and unknown charges, complaints, claims, grievances, liabilities, obligations, promises, controversies, damages, actions, causes of action, suits, rights, demands, costs, losses, debts, penalties, fees, wages, attorneys’ fees and costs, and punitive damages of any kind or nature whatsoever, whether known or unknown, which I may have, or may have had, against Big Brothers Big Sisters of El Paso, arising from any participation in said program and activities, including but not limited to any liability to any right of action that may occur to such child directly, or to me as their guardian.  I intend and understand that this release and discharge is to be interpreted and enforced so as to provide the broadest release and discharge possible as may be permitted by law.  I understand that this information may be shared with the school or with partnership agencies when applicable.

If my child is matched with a Big Brother or Big Sister I agree to support my child’s match by reviewing the program and safety information given to me by Big Brothers Big Sisters, communicating with Big Brothers Big Sisters staff as outlined in expectations (which includes communication at least once a month in the first year of the match), and immediately reporting any concerns I might have to Big Brothers Big Sisters staff.

Electronic Signature