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ex: 2032

I give my permission for Big Brothers Big Sisters to share information with Northside Achievement Zone regarding my child's match and BBBS program participation. 

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Privacy and Confidentiality Policies and Permissions
Big Brothers Big Sisters Twin Cities (BBBSTC) respects the confidentiality of program participant and volunteer records and, with the exception of situations listed below, shares information about program participants and volunteers only with BBBSTC staff members, certified volunteers, and interns. Identifying information will be released to other individuals or non-BBBS organizations only with the parent’s/guardian’s written consent. All records are considered the property of BBBSTC and not the agency workers or program participants or volunteers themselves.

Confidentiality exceptions include the following:
1. For purposes of program evaluation, audit, or accreditation, and with the prior approval of the Board of Directors, certain outside bodies such as Big Brothers Big Sisters of America may
have access to child and volunteer records.
2. Members of the Board of Directors or external evaluators have access to child and volunteer files upon authorization of the Board of Directors.
3. Written information shall only be provided to law enforcement officials or the courts in
response to a valid and enforceable subpoena.
4. Information shall be provided to an agency’s legal counsel in the event of litigation or
potential litigation involving the agency.
5. State law mandates that suspected child abuse be reported to the appropriate authorities (local police or child protection agency).
6. If an agency worker/representative receives information indicating that a child or volunteer
may be dangerous to himself or herself or to others, necessary steps may be taken to protect
the appropriate party. This may include a medical referral or report to the local law
enforcement authorities.
7. At the time a child or volunteer is considered as a match candidate, information is shared
between the prospective match parties. Match parties are expected to respect and keep
confidential such shared information. The information about the volunteer may include such
items as: age, sex, race, religion, interests, hobbies, marriage, family status, sexual orientation, living situation, etc.  
8. Information shared about the child may include such items as age, sex, race, religion, interests, hobbies, family situation, etc. 

Program Participation Policy and Permissions
I give permission for my child 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. I understand that my child and I will be asked to provide additional personal information about school, home, interests, safety, etc.  Upon acceptance into the program, information gathered will be used to place my child in a match relationship with a volunteer.  I have read the program description and understand the agency’s guidelines and expectations for myself and my child in a match relationship through BBBSTC. I authorize BBBSTC to talk to my child about their personal safety and respond to sensitive topics in a professional manner. If my child is matched with a Big Brother or 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. 

Social Media Policy and Permissions
BBBSTC recognizes and appreciates the role of online media and social networking in today’s society. Before my child engages in any online activities with his/her Big Brother or Big Sister, I understand that I must give my permission.

Photo/Video Permission
I hereby give my permission for BBBSTC to use identifying information (first name, photograph, match profile information) regarding my child now, and in the future, for agency publications, media productions, promotional materials, and online social networking media (social media, blog post storiesinspirational videos, etc.)  This publication consent will expire upon my giving written notification to BBBSTC. This revocation will not apply to existing publications or productions in stock for distribution. Last names of minors (Littles or High-School Bigs) will not be used in any BBBSTC publication without further written or verbal consent by the minor’s parent or legal guardian. (Please note BBBSTC encourages other media entities to abide by this policy, but ultimately, BBBSTC is not responsible for external publicity.)

Online and In-Person Options

At this time, you have the option to conduct your interview and match introduction in-person or virtually.  We are monitoring the status of the pandemic and will adjust this policy as needed based on state and local guidance.  We appreciate your willingness to adapt with us as we continue to create more life-changing relationships in our community. 

If you have questions about this or any other program policies, please email us here: thinkbig@bigstwincities.org