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First Name
Nombre
Last Name
Apellido
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Date of Birth/Fecha de nacimiento
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Gender
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How do you identify?
Pronouns
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He, Him
She, Her
They, Them
Other
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How do you identify in terms of race/ethnicity? Sometimes young people ask for a Big of the same race/ethnicity and we do our best to accommodate their requests.
American Indian or Alaska Native
Asian - Chinese
Asian - Filipino
Asian - Indian
Asian - Japanese
Asian - Korean
Asian - Other
Asian - Vietnamese
Black or African American
Hispanic - Cuban
Hispanic - Mexican,Mexican American,Chicano
Hispanic - Other Latinx or Spanish origin
Hispanic - Puerto Rican
Middle Eastern or North African
Pacific Islander - Chamorro
Pacific Islander - Native Hawaiian
Pacific Islander - Other
Pacific Islander - Samoan
White or Caucasian
Other
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Please check all that apply.
Help us identify which program might be best for you.
When are you usually available to mentor? Please check all that apply.
Lunch Time
After School
Evenings
Weekends
What are your top 3 interests or hobbies?
Anime, Manga, etc
Art (painting, drawing, pottery, photography, etc)
Board Games & TTRPGs
Content Creation
Cooking & Baking
Cosplay
Dance
DIY (fixing homes, cars, etc)
Electronics & Robotics
Fiber Arts (sewing, knitting, crochet)
Gardening & Plants
Hiking & Climbing
Music
Outdoor Hobbies (Fishing, Archery, Hunting, etc)
Playing Sports & Athletics
Reading
Snow Sports (ski, snowboard, etc)
Video Games
Watching Sports
Writing
Other
What is your hobby?
How far are you willing to drive to meet with your Little?
5 Miles
10 Miles
15 Miles
20+ Miles
Are you affiliated with our partner Alpha Phi Alpha Fraternity, Inc?.
Yes
No
How did you hear about Big Brothers Big Sisters?
Media
Web Link
Workplace Partner
High School Partner
College Partner
Service Organization
Faith Organization
Special Event
Self
Neighbor/Friend
Relative
Other Big
BBBS Board/Staff
Fraternity/Sorority
I agree to be contacted about my inquiry via phone, text, or email.
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