Please review the information in the criteria drop down at the top of this page before completing the inquiry form regarding programming for your child.  Please note, this is not an official BBBS application form and someone from the Agency will follow up with you.  Thank you!



When applying for our programs, a mentee must be between the ages of 6 and 16 years. The mentoring relationship can be supported by the agency through to 18 years of age.

An Enrollment 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


  • (must be between 6 and 16 years)
  • This field is for validation purposes and should be left unchanged.