Virtual Mentoring and Virtual In-School Mentoring+ Registration Form

  • Child's Information

  • Date Format: MM slash DD slash YYYY
  • This response is voluntary and will be used for statistical purposes only.
  • This response is voluntary and will be used for statistical purposes only.
  • Family Information

  • Getting To Know Your Child

  • Select any that apply.
  • We realize that this information can be of a sensitive nature and it will be treated with confidence and respect.
  • Contact between Mentees and Mentors will primarily include video calls and/or phone calls.
  • We will do our best to accommodate your child’s availability but cannot guarantee everyone their first choice, so please select all that apply. Meetings are typically 30-60 minutes in length and occur once per week.
  • Choosing A Mentor

  • You may wish to include age range, gender, personality traits, interests, etc. Typical trends in volunteer enrollment show a higher percentage of women volunteering than men. Unfortunately, we also generally have more boys seeking mentorship than girls. This may result in a cross-gender match (i.e Big Sister with a Little Brother). If you are applying for your son and know for sure you would not want a female Mentor, please indicate that below. If however, you would be open to a female Mentor please let us know, as there is a better chance of your son being matched sooner.
  • Do you have any suggestions or strategies for us and/or the Mentor to employ to make your child feel more comfortable?
  • We will do our best to meet your request but may not be able to guarantee everyone their first choice. Please select any that apply.
  • Your Involvement

  • You know your child better than anyone. Although this relationship is primarily between your child and their Mentor, we encourage you to take an active role in the match by providing support and strategies to the Mentor. This will help them build a meaningful connection with your child. We will also need your assistance with ensuring your child is prepared for their weekly calls. Finally, our trained staff will monitor and support your child’s match from the very beginning. It is imperative for the safety and health of the match that our monitoring schedule is adhered to. Please do your very best to reply to calls, emails, and meeting requests in a timely manner.
  • Confidentiality

  • Just as we have to share information with you about the Mentor we select for your child, we need to share information with the volunteer about you and your child.
  • Media Consent

  • I hereby consent to Big Brothers Big Sisters of York (BBBSY), the use of any photographs, audio and/or video recordings of my child taken during the program as authorized by the BBBSY President & CEO or Board of Directors. I give my permission for this media to be used by BBBSY for purposes of promotional material including brochures, posters, newsletters, media information, advertisements, audio-visual productions and digital media, (such as the BBBSY website and social media). Photographs or video productions may also be shared with community and school partners for program promotion.
  • Informed Consent

  • I hereby make formal application to Big Brothers Big Sisters of York to make available their service to my child. It is my understanding that the intention of the Agency is to match a responsible male/female adult, (minimum 18 years old), with my child for the purposes of shared activities, friendship and support. I understand that all efforts will be made to select a Mentor who is compatible with my child. In consideration for this service and other valuable consideration provided to my child by Big Brothers Big Sisters of York, I release the agency of all responsibilities and liabilities in connection to their services provided in good faith, to myself or my child. I permit the agency to release any relevant information, including my personal information, to Big Brothers Big Sisters of Canada and their insurers, as may be appropriate in connection with any legal proceeding, inquiry or risk thereof. I understand that the collection of personal information about me or my child will be held in strict confidence and is to be used solely for the purposes of administering the program. I further agree that information about my child may be shared, at the discretion of Big Brothers Big Sisters of York, with my child’s Mentor so that my child’s needs in a Mentoring relationship may be best met. I understand that I am under no obligation to accept a Mentor for my child, that the Agency is under no obligation to provide my child with a Mentor and that this application is the property of Big Brothers Big Sisters of York. I also agree that my child will participate in the Pre- Match Training Program administered by Big Brothers Big Sisters of York.