Youth Inquiry

Welcome to Big Brothers Big Sisters!

We’re so glad you’re here. Our program is all about creating meaningful, one-to-one friendships that help young people discover their potential, feel supported, and build brighter futures.

Before we get started, we’d love to know: How did you hear about Big Brothers Big Sisters of Northeast Indiana?

Hidden Fields

Youth Contact Owner ID

To look up the owner's email for notifications

Youth Contact Owner Email

For notifications

Youth Contact ID

Youth Enrollment ID

Additional Youth Found

YesNo

Guardian Contact ID

School Account ID

Youth Information

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Enter a date in the following format: mm/dd/yyyy

Gender

How does the child identify?

School

If you do not see your child's school, select Another School Not Found

Grade

Race/Ethnicity. Check all that apply:

American Indian or Alaska Native	Asian Indian
Black or African American	Chamorro
Chinese	Filipino
Hispanic - Cuban	Hispanic - Mexican, Mexican American, Chicano
Hispanic - Other Latinx or Spanish Origin	Japanese
Korean	Middle Eastern or North African
Native Hawaiian	Other
Other Asian	Other Pacific Islander
Samoan	Vietnamese
White or Caucasian

Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Mobile Phone

Other Phone

Employer

Type NA if unemployed

Family Information

Address

Mailing Street Address

Mailing City

Mailing State

Mailing Zip Code

County:

NOTE: If the county you live in is not listed, you are located outside of our service area. Please visit Big Brothers Big Sisters of America's website at https://www.bbbs.org/enroll-a-child/ to find the agency that serves your community.

Thank you for completing the Youth Inquiry form.

Please note that this is NOT an application.

We will be in touch soon with the next steps in enrolling your child into our program!

Contact Information