Site-Based Forms

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Site-Based Forms

Please NOTE, these forms must be downloaded and sent to the agency.

Adult Application

High School Big Application

Parent Permission Form for Youth (Applying to get a Mentor)

Youth Site Based Form

Site-Based Matching

In our Site-Based programs, Bigs and Littles are matched in an individual or group setting in order to strengthen social, academic, decision-making, or problem-solving skills. All match activities take place in a supervised location, most often the child’s school.

Site-Based: Big Futures

First through fifth graders are mentored in an after-school program. Bigs and Littles meet weekly and do homework before engaging in fun activities which teach life skills and goal setting.

Our current Big Futures program is at Kreeger Elementary in Fowlerville.  This program is funded by Asahi Kasei Plastics of North America.

Site-Based: Lunch Buddies

This program offers elementary school children the opportunity to eat lunch and share special time with a mentor during their lunch hour. Bigs meet with their Little twice a month at the child’s school.

Our current Lunch Buddies programs are in the following elementary schools:

  • Hartland
    1. Lakes
  • Howell
    1. Challenger
    2. Hutchings
    3. Northwest
    4. Southeast
    5. Southwest
    6. Voyager
  • Pinckney
    1. Farley Hill

Lunch Buddies is funded by Hanover Foundation/ Citizens Insurance.

Site-Based: Rockin’ Readers

Once a week, elementary school students work with a trained mentor on increasing their reading skills.  Littles work outside their classroom with their Big before they go home at their regular time.

Our current Rockin’ Readers program is in Lakes Elementary in Hartland and is funded by Matrix Quality Services.


Site Based Forms