MGHfC Food Allergy Buddies Recommendation Form for Bigs

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The MassGeneral Hospital for Children Food Allergy Buddies Program is a unique pilot program designed to build community and confidence among children managing food allergies in the Boston area. Food allergies can be a challenging experience for children and adolescents as they learn the steps to confidently make safe choices and advocate for themselves.

In this program, younger children with food allergies will be assigned to a group with same-age peers as well as high school-age mentors. Together, they will tackle common challenges and practice the skills necessary to manage their food allergies with confidence. Mentors will also be leading fun, team building events, games and activities with their younger buddies. We hope both the older and younger children will benefit from this teaching and reinforcement, finding community, friendship, and confidence.

Thank you so much for your assistance with this application process. If you have any questions, please do not hesitate to reach out to foodallergybuddies@mgh.harvard.edu.

Applicant's First Name *

Applicant's Last Name *

Your Full Name *

Your Contact Email *

How long have you known the applicant and in what capacity? *

Please share some of the strengths of the applicant that you think would help them be successful in this program. *

Have you had the opportunity to observe this applicant interacting with peers and/or younger students? (If yes, please share highlights of what you observed.)

Have you had the opportunity to observe this applicant manage their food allergy? (If yes, please share highlights of what you observed.)

The applicant is dependable. *

Strongly disagree

Strongly agree

The applicant strives to use good judgment and would be a good model for younger students. *

Strongly disagree

Strongly agree

The applicant works well with others.

Strongly disagree

Strongly agree

Clear selection

Would you recommend this applicant for a mentor role in the Buddies Program? *

Yes

What support do you think would be most important for this applicant to be successful in the program?

Do you have any concerns about this applicant acting as a mentor and representing this program to younger children? *

Is there any other information that would be helpful to us as we consider this applicant?

Submit

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