If you would like to be a part of Campus PALS for the 2008-2009 school year, please fill out this application, and your child will then be paired with a Big. Please make sure that your e-mail and phone number are correct!
Please provide the following contact information: Child's Name Age Birthday School Name Grade Mother/Guardian Name Home Phone Work Phone Address Address (cont.) City State/Province Zip/Postal Code E-mail Father/Guardian Name Work Phone If different from mother: Home Phone Address Address (cont.) City State/Province Zip/Postal Code E-mail My child would prefer a: Big Brother Big Sister No Preference Can you provide transportation or does your child's Big need to have a car? Big must have car Big does not need car Why do you want your child to be in this program? What qualities should we look for in a Big specifically for your child? Does your child have and special needs or health concerns? Was your child in the program last year? Yes No If so, would your child like the same big (if possible)? Yes No Previous Big's name
Please provide the following contact information:
My child would prefer a:
Big Brother Big Sister No Preference
Big must have car Big does not need car
Why do you want your child to be in this program?
What qualities should we look for in a Big specifically for your child?
Does your child have and special needs or health concerns?
Yes No
If so, would your child like the same big (if possible)?