OJJDP - MENTOR PROGRAM 2024

PLEASE READ:

Child's Name (First & Last): *

Grade: *

Age: *

Parent's Full Name (First & Last): *

Parent's Phone Number: *

PARENT CONSENT:

MENTOR PROGRAM

Small group mentoring program that meets once a week in our Club’s classroom with professionally trained Club staff (mentors) and our Club members (mentees).

Members must be signed up for this program by a parent/guardian as it is a federal grant. Online sign-up began on Wednesday, January 3rd, 2024. Sign-up is limited and done on a first come, first serve basis.

Together, the small mentor groups will complete 1 evidence-based program and 1 skill building program as well as play games, engineer STEM activities and do a variety of craft projects and Lego Education lessons. Members must be signed up for this program by a parent/guardian as it is a federal grant. Online sign-up began on Wednesday, January 3rd - If you already signed your child up for the 2024 Mentor Program, you do NOT need to re-enroll them as they are already signed up. Thank you!

O.J.J.D.P. mentoring program for 2024. OJJDP is a mentorship program through the Office of Juvenile Justine and Delinquency Prevention. OJJDP is a federal grant that our Club receives every year to mentor our youth. Our hope is that this is a way to better connect with members that may benefit from developing one-on-one relationships with our staff in small group mentoring sessions.

MENTORING DAY - PICK 1! *

TUESDAYS 4:30PM - 5:00PM (0 remaining)

WESNESDAYS 4:30-5:00PM (18 remaining)

THURSDAYS 4:30PM - 5:00PM (12 remaining)

I hereby give my permission for my child to participate in the Mentoring Program at the Boys & Girls Club.

I fully understand that the program involves mentors, who shall be selected from the community and will be screened (including a criminal background check) and trained before beginning in the program. A mentor will be expected to spend a minimum of one hour per week with my child on-site at the Boys & Girls Club. The mentor is not allowed to take or meet my child beyond the Club facility.

I understand that my child will participate in an orientation session at the Club in which the program will be explained. The program is planned to last one year and continuation may then be discussed.

I understand that during the course of the mentoring program there may be special group events (incorporating all mentors and youth) and family events planned. I understand that the staff of the Club will provide ongoing monitoring of the mentoring activities.

I give the Boys & Girls Club Mentoring Program Coordinator permission to obtain my child's academic and attendance records from my child's school.

I permit the Mentoring Program staff and the Boys & Girls Club to utilize photographs of my child taken during his/her involvement in the mentoring program and waive all rights of compensation.

Today's Date *

Parent or Guardian Signature (required): *

clear