Youth Enrollment Community-based
I, , hereby make formal application to Big Brothers Big Sisters of Western North Carolina, Inc., a non-profit North Carolina corporation, to make available the services of Big Brothers Big Sisters to my child, and, if possible, assign to him/her a competent adult volunteer. I hereby release Big Brothers Big Sisters of Western North Carolina, Inc. of all responsibilities and liabilities in connection therein.
At such time that my child is matched with a volunteer, I understand that Big Brothers Big Sisters staff will need to speak with me and my child on a regular basis about the relationship. The purposes of these contacts are to monitor the development of the mentoring relationship and the safety of my child.
I give permission for:
Big Brothers Big Sisters of WNC respects the confidentiality of client and volunteer records and, with the exception of situations listed below, shares information about clients and volunteers only among the agency professional staff. All records are considered the property of the agency and not the property of the staff, clients, or volunteers.
Records are not available for review by the clients or volunteers.
I agree to program participation under the above conditions.
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Document Name: Youth Enrollment Community-based
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