Mentee School Referral Form
Thank you for your interest in your student becoming a School Based mentee at MentoringWorks, previously known as Big Brothers Big Sisters of Hastings!

If you are not sure what the program entails please check out our Frequently Asked Questions using this link: https://tinyurl.com/yd563fwp

The application process has two parts. Both parts must be completed for the student to be accepted as a mentee in the School Based Program. The parts are as follows:

PART I: Parent/Guardian Application. This application is made up of several sections and must be completed by the student's parent or guardian. The link to the the application is: https://tinyurl.com/yc4nkvfq

PART II: This referral form. This referral is made up of several sections. If you are unable to complete the form in one sitting, copy the URL link and save the link somplace you can access it in the future when you are able to complete the form in it's entirety.

Hard copies of all mentioned materials can be given to you by request.

Once all of these materials have been received, MentoringWorks staff will contact the parent/guardian of the student to schedule a parent/guardian interview. MentoringWorks staff will also contact you (or the designated MentoringWorks school liaison) to schedule an interview with the child during school hours.

All applications will be given equal consideration regardless of race, age, sex, disability, marital status, sexual orientation, religion, or national origin.

If you have any questions or need assistance while completing this form please contact us at (402) 463-5652.

Email address *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service