CHILD INQUIRY FORM

Thank you for your interest in registering your child with Big Brothers Big Sisters of South-West Durham and Northumberland

To receive more information about our mentoring programs and how to register your child please complete the form below and our Intake Coordinator will give you a call to discuss the application process.

*PLEASE NOTE INQUIRIES FOR ONE-TO-ONE COMMUNITY BASED MENTORING ARE CURRENTLY CLOSED. PLEASE CHECK BACK AT A LATER DATE.*

Criteria

HOW IT WORKS

When applying for our programs, a mentee must be between the ages of 6 and 13 years.

An Intake Coordinator will work with you and your child to review your situation and determine how a mentor would be of benefit. Factors that would be considered regarding your child’s needs include:

  • Parent or guardian support
  • Adult involvement other than the parent(s) or guardian(s)
  • Peer relationships
  • School performance
  • Involvement in community activity
  • Living environment
  • Ability to form and maintain a healthy, safe relationship
  • Ability to perform self-care

  • Parent/Guardian Information

  • CHILD INFORMATION

  • (must be between 6 and 16 years)
  • MM slash DD slash YYYY
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    Select any programs in which you believe suits your child best. For more information on programs visit the "Our Programs" tab under MENTORING PROGRAMS.
    Select any programs in which you believe suits your child best. For more information on programs visit the "Our Programs" tab under MENTORING PROGRAMS.
  • This field is for validation purposes and should be left unchanged.