Youth Inquiry

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Initial Eligibility

Currently our program only serves Travis, Williamson and Hays counties. To participate, children and youth must be between 6-16 years old and be willing to participate for at least one year.

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.

Youth Information

First Name

Middle Name

Last Name

Preferred Name

Application Name

Concatenated from First + Last

Birthdate

We currently serve children between the ages of 6-16.

Grade

12-Grade

Gender

Race/Ethnicity

American Indian or Alaska NativeAsian - ChineseAsian - FilipinoAsian - IndianAsian - JapaneseAsian - KoreanAsian - OtherAsian - VietnameseBlack or African AmericanHispanic - CubanHispanic - Mexican,Mexican American,ChicanoHispanic - Other Latinx or Spanish originHispanic - Puerto RicanMiddle Eastern or North AfricanPacific Islander - ChamorroPacific Islander - Native HawaiianPacific Islander - OtherPacific Islander - SamoanWhite or CaucasianOtherPrefer not to say

Guardian's Relationship to Youth

Guardian Relationship

Parent/Guardian Information

Guardian Contact ID

Parent/Guardian First Name

Parent/Guardian Last Name

Mobile Phone

Personal Email

What language would you like us to email or text you in?

Street Address

State

Zip Code

County

City

Agency Location ID

How did you hear about Big Brothers Big Sisters?

Referral Detail ID

Next Steps

Thank you for providing the information above!

After submitting this form, our Child Intake team will be reaching out soon to discuss next steps, including submitting a Youth Application and completing a Parent/ Guardian Pre-Match Training!

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