Youth Inquiry Form

Parent/Guardian Contact Information

Nombre 

Apellido

Correo electrónico  (If you do not have an email address, please put swwabigs.program@swwabigs.org)

Número del celular 

Código postal

Condado


Youth's Information




Fecha de nacimiento 

Género

¿Cómo se identifica usted de género?

Pronombres
Minimum Eligibility Requirements
  • Enrolled between the ages of 6 – 14 (16 for female-identifying youth). 
  • Live in Thurston, Lewis, Mason, Grays Harbor, or Pacific Counties. 
  •  Be willing to make a minimum one-year commitment. 
  • Parent/guardian must be willing to maintain monthly contact with BBBS staff for the duration of the match. 
  •  Youth must personally want a mentor involved in their life. 
  • Youth must live with parent/guardian or in a long-term foster care placement without plans of moving for the first 12 months of the match.

Our Programs

Community-based Program

  • Littles meet up with their Big 2-4 times per month when they both have the time. 
  • Parent/guardians arrange and approve all outings. 
  • The match can explore common interests out in the community such as attending a sporting event, going for a hike, or cooking together! It's up to you as a guardian, the Big, and the Little. Matches are also invited to match activities including sporting events, attractions, and gaming entertainment.

Site-based Program

  • Littles meet their Big at one of our partner sites for one hour per week (or at least 2 times per month) during their lunch break or after school. 
  • Littles will meet with the same Big each week and can spend time eating lunch, participating in structured activities, playing games, working on homework, or hanging out on the playground. 
  • This program is available only at select sites.  



Consent
I understand that submitting this form indicates that I am interested in more information about enrolling my youth in the BBBS program. I consent to BBBS staff reaching out to me via the contact information I have provided.