Beautiful Beauties of Tomorrow Mentorship Program
    • General Information 

    • MENTEE APPLICATION 2024

      ALL THE INFORMATION YOU PROVIDE WILL BE KEPT CONFIDENTIAL AND WILL BE USED BY THIS AGENCY ONLY AS SET FORTH IN OUR CONFIDENTIALITY POLICY (see last page).  PLEASE ANSWER ALL OUR QUESTIONS TO THE BEST OF YOUR ABILITY SO THAT WE CAN BEST SERVE YOUR FAMILY’S NEEDS.  BEAUTIFUL BEAUTIES OF TOMORROW MENTORSHIP PROGRAM ADMINISTERS ITS SERVICES IN A MANNER THAT DOES NOT DISCRIMINATE
    • SEASON #12

      SEASON #12

    • Gender*
    •  -
    •  -
    • Authorization to text Mentee?*
    •  -
    •  -
    • Primary Language spoken at home?*
    • Please describe your household:*
    • HOUSEHOLD INCOME:(for statistical purposes only)*
    • MILITARY SERVICE: Does this mentee have a parent(s) currently enrolled in or retired from the US military?*
    • Orientation Mentee describe as*
    • ETHNICITY/ NATIONALITY (check one that applies to Mentee )*
    • Personal Information 

    • MENTEE NEEDS INFORMATION

      Please note: The information requested below will not be used to discriminate against your child in any way, but will allow us to better serve your family. With the exception of rare circumstances, this information will not be used in making a determination of eligibility.  In the event that we are unable to provide services, the Agency will assist you in locating alternative services.
    • Check one that apply*

    • Mentee needs help performing in the following academic area: (Please choose one academic area)*

    • What do you like to do the most in your free time?

      (Check all that apply and give examples of your favorite)

    • Hobbies / Interests*

    • 1.    Will you try your best to meet with your mentor at least twice a month?*
    • 1.    Will you try your best to join all  mentoring session at least twice a month for the next 10 months?

    • Parent/Guardian AGREEMENT                                          Please read and sign each section

       

    • Certification: I certify that the information contained in this application form is true, correct and complete to the best of my knowledge.

    • 1.     Information will be released to other individual or organizations only upon presentations of an authorized “Consent to Release Information” form appropriately signed by (i) the client’s parent/guardian when the information requested relates to the client, or (ii) by the volunteer when the information requested relates to the volunteer.

       

      2.     For purposes of program evaluation, audit, or accreditation, and with the prior approval of the Board of Directors, certain outside organizations such as Big Brothers Big Sisters of America may have access to client and volunteer records. These outside organizations shall be required to respect the Agency’s Confidentiality Policy. Outside organizations shall use such information only for the purpose(s) approved by the Board of Directors. Known violations of Agency’s Confidentiality Policy will be reported to the supervisor of the individual involved, or to the CEO, and appropriate disciplinary action shall be taken.

       

      3.     Members of the Board of Directors have access to client files for various reasons, including (i) program evaluation, audit and case planning, (ii) in circumstances adversely impacting the Agency to evaluate the impact and the Agency’s response, and (iii) at the discretion of the Executive Committee of the Board of Directors and/or at the discretion of the Agency’s Management Team.

       

      4.     Information shall be provided to (i) Agency legal counsel or any counsel selected by the Agency and/or (ii) the Agency’s insurance carrier, in the event of litigation or potential litigation or at the discretion of the Chief Executive Officer or the Executive Committee of the Board of Directors for any matter involving the Agency. Such information provided to legal counsel is privileged information, and law protects its confidentiality.

       

      5.     Information shall only be provided to law enforcement officials or the courts pursuant to a valid and enforceable subpoena.

       

      6.     At the time a child or volunteer is considered as a match candidate, information is shared between the prospective match parties. The information about the volunteer may include such items as: age, sex, race, religion, interests, hobbies, marriage/family status, sexual orientation, living situation, etc. Information about the child may include such items such as: age, sex, race, religion, interests, hobbies, family situation, etc.

       

      7.     State law mandates that suspected child abuse be reported to the Florida Department of Children & Families. Agency workers shall comply with mandated procedures.

       

      8.     If an Agency worker receives information indicating that a client or volunteer may be dangerous to himself/herself or to others, necessary steps may be taken to protect the appropriate party. This may include a medical referral or a report to the local law enforcement authorities.

       

      I have read and understand the above document which states the agency policy with respect to confidentiality of clients and volunteer records. I agree to program participation under the conditions it sets forth.

       

    • YOUTH TALENT RELEASE

    • This is a fill in the field. Please add appropriate fields and text.

    • This is a fill in the field. Please add appropriate fields and text.

    • I {parent name}*  agree to permit Beautiful Beauties of Tomorrow, Inc. (“Agency”) to take, use, release or reproduce my minor * , likeness, voice or any other information identifying my minor child, whether by photograph, videotape, audiotape, film or by any like means for any purpose that furthers the mission and goals of the Agency. I further agree to permit the Agency to authorize any designee, assignee, nominee, successor, affiliate or related entity to take, use, release or reproduce my minor (child’s name).__________________, likeness, voice or any other information identifying my minor child, whether by photograph, videotape, audiotape, film or by any like means for any purpose that furthers the mission and goals of the Agency. I expressly release and hold harmless the Agency, any designee, assignee, nominee, successor, affiliate or related entity, from any and all claims, causes of action or liability arising from or related in any manner to the taking, use, release or reproduction of my minor child’s name, likeness, voice or any other information identifying the minor child. This authorization shall be effective and continually in force, to the extent permitted by law, from the date of this authorization until revoked by the parent/guardian with written notice, or Successor Authorization, provided by the Agency, is executed. Note to Volunteers and Parents: Signing this Talent Release does not mean that your minor child’s name, likeness or voice will appear in any publicity photos, videos, news reports, articles or similar places. However, since some BBOT events are covered by the media or recorded or videotaped, we must have all volunteers and parents sign this release for your protection and ours.

    • CUSTODY ARRANGEMENT

      (Absent parent(s) If applicable)
    • Do you have legal custody of this Mentee?*
    • Is there a person who shares legal custody? If yes, are they aware and supportive of youth’s enrollment in the BBOT program?*
    • Does this person have contact with the Mentee?*

    •  

      Confidentiality Policy To Be Read And Signed

      By Clients & Volunteers
      Access to Confidential Records

      In order for Beautiful Beauties of Tomorrow, Inc, (“Agency”) to provide a responsible and professional service to clients it is necessary for volunteers, clients and parents or guardians to divulge extensive personal information about themselves and their families. The agency respects the confidentiality of clients and volunteers and, with the exception of situations listed below, shares information about clients and their volunteers only among the agency staff. All records are the property of the agency and not the agency workers or clients or volunteers themselves. In order to provide a service which is in the best interest of the children served by the program, information from outside sources, including confidential references must be assessed along with information gained from the clients or volunteers themselves. Records are not available for review by the clients or volunteers.

       

    • Limits Of Confidentiality

    •  

      1.     Information will be released to other individual or organizations only upon presentations of an authorized “Consent to Release Information” form appropriately signed by (i) the client’s parent/guardian when the information requested relates to the client, or (ii) by the volunteer when the information requested relates to the volunteer.

       

      2.     For purposes of program evaluation, audit, or accreditation, and with the prior approval of the Board of Directors, certain outside organizations such as Big Brothers Big Sisters of America may have access to client and volunteer records. These outside organizations shall be required to respect the Agency’s Confidentiality Policy. Outside organizations shall use such information only for the purpose(s) approved by the Board of Directors. Known violations of Agency’s Confidentiality Policy will be reported to the supervisor of the individual involved, or to the CEO, and appropriate disciplinary action shall be taken.

       

      3.     Members of the Board of Directors have access to client files for various reasons, including (i) program evaluation, audit and case planning, (ii) in circumstances adversely impacting the Agency to evaluate the impact and the Agency’s response, and (iii) at the discretion of the Executive Committee of the Board of Directors and/or at the discretion of the Agency’s Management Team.

       

      4.     Information shall be provided to (i) Agency legal counsel or any counsel selected by the Agency and/or (ii) the Agency’s insurance carrier, in the event of litigation or potential litigation or at the discretion of the Chief Executive Officer or the Executive Committee of the Board of Directors for any matter involving the Agency. Such information provided to legal counsel is privileged information, and law protects its confidentiality.

       

      5.     Information shall only be provided to law enforcement officials or the courts pursuant to a valid and enforceable subpoena.

       

      6.     At the time a child or volunteer is considered as a match candidate, information is shared between the prospective match parties. The information about the volunteer may include such items as: age, sex, race, religion, interests, hobbies, marriage/family status, sexual orientation, living situation, etc. Information about the child may include such items such as: age, sex, race, religion, interests, hobbies, family situation, etc.

       

      7.     State law mandates that suspected child abuse be reported to the Florida Department of Children & Families. Agency workers shall comply with mandated procedures.

       

      8.     If an Agency worker receives information indicating that a client or volunteer may be dangerous to himself/herself or to others, necessary steps may be taken to protect the appropriate party. This may include a medical referral or a report to the local law enforcement authorities.

       

      I have read and understand the above document which states the agency policy with respect to confidentiality of clients and volunteer records. I agree to program participation under the conditions it sets forth.

       

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