Site Based Child Application
Thank you for your interest in Big Brothers Big Sisters of East Central Indiana. Please fill this out in its entirety. If a question has a star next to it, it is mandatory information that we need to enroll your child. After we receive your application, BBBS will contact you to set up an in person interview.
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Relationship to Child *
Your answer
Do you have legal custody of the child? *
Is there a person who shares legal custody of this child? *
If yes, are they aware and supportive of the child's enrollment in the BBBS program?
If yes, what is their name?
Your answer
If yes, what is their phone number?
Your answer
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