Thank you for your interest in our programs. Please note that this is NOT an application form. This form is to request an intake PRIOR to being requested to fill out an application form. Once you submit this form you’ll be contacted by a staff person.

  • Parent/Guardian Information

  • CHILD INFORMATION

  • (first and last)
  • This field is for validation purposes and should be left unchanged.

CRITERIA (Please click to expand this section)

HOW IT WORKS

For the Big Brother, Big Sister, and Cross Gender programs, parent/guardians can apply for children at the age of 7, and non-binary youth for PRISM at 9. Boys over 12 and girls over 13 are no longer eligible to apply to enter the Big Brother or Big Sister program, however youth who are on the waiting list are eligible for matching until they are 15.  (Youth in other specialized programs, such as Ototema, MAP and PRISM can be over 12/13 years of age at the time of application).

Youth must voluntarily want to be a part of the program, and will be updated regularly while they are waiting for a match. Youth will be offered group and short-term programs immediately after acceptance.

Youth who are under 16 years of age must have a parent/guardian who supports the application and can be involved in the process. Youth who are over 16 will be assessed as the primary applicant, should they wish to advocate for themselves. If you are not the individual with legal signing rights for the child, the legal signatory must provide permission.

Youth, and parent/guardians if applicable, must agree to regular contact with the Agency.

Youth must reside in Winnipeg

As there are many programs and many considerations when determining program eligibility and fit, there may be criteria not listed here that is program specific.

An Enrollment Coordinator will work with you and your child to review your situation and determine how a mentor would be of benefit. Factors that would be considered regarding your child’s needs include:

  • Parent or guardian support
  • Adult involvement other than the parent(s) or guardian(s)
  • Peer relationships
  • School performance
  • Involvement in community activity
  • Living environment
  • Mental health needs
  • Ability to form and maintain a healthy, safe relationship
  • Ability to perform self-care