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BBBS of Gallatin County
15 South 8th Avenue
Bozeman, MT 59715
phone: 406-587-1216
[ email ]

Branch and Satellite Offices:

Big Sky Branch
45465 Gallatin Road
Gallatin Gateway, MT 59730
(406) 995-3411
[ email ]

Ennis
PO Box 57
Ennis, MT 59729
(406) 682-5681
[ email ]

West Yellowstone
PO Box 655
West Yellowstone, MT 59758
(406) 646-1015
[ email ]

Apply Online
Becoming a Little » Apply Online

Little Application Form
Please review the Steps to Becoming a Little before completing this application.

If you have difficulty completing this form, please call the office at (406) 587-1216, and we will assist you. There is no fee for our service and your income will not be considered in determining your child's eligibility.

Child's Information

*Name of Child:

*Date of Birth:

*Ethnicity:

*Gender:

Male

Female

Religion:
*School Attending:
*School Grade:

Parent/Guardian Living with above Child

*Parent Name:
*Relationship with child:
*Present Living Situation:

*Are you receiving income assistance?

Yes

Is there a person who shares custody of this child:

Yes

*If yes, are they aware of the child's enrollment in BBBS:

Yes

Date of Birth:

*Address:
*City:
County:
*State:
*Zip Code:
*Home Phone:
Cell Phone:
Email Address:

Parent/Guaridan Employment Info

*Employer:
Title:
Work Phone:

*May we call you at work?

Yes

Best time to Call:
Work Hours:
Days Off:

How did you hear about us?
What is the primary reason for wanting your son/daughter to have a Big Brother/Big Sister?

*Do you feel your child has any medical conditions that might affect him or her participating in activities with a Big Brother/Big Sister?

Yes - explain in box below

*When and where would it be most convenient to talk with you and your son or daughter so that we can start the match process?

*Do you anticipate any significant life changes over the next year or have you had any in the past year? Please explain:

Additional Comments:
By submitting this form, I give my permission for my child which I have listed above, to participate in the Big Brothers Big Sisters program. I understand that the BBBS agency is not obligated to match my child with a volunteer and that as part of the enrollment process I will be asked to provide additional personal information. If my child is matched with a Big Brother or Big Sister I agree to support my child's match and to immediately report any concerns I might have to the Big Brothers Big Sisters staff.

Thank You To our
LEGACY MATCHMAKER
OP/TECH USA

Giving Levels
Century Club $100
Patron of Youth $350
Benefactor of Youth $500
Match Maker $1,000
Magic Maker $5,000
Dream Maker $10,000
Legacy Match Maker $20,000
Little Moments, Big Magic