Become a PRISM Mentor, Mentee, or Advisory Member PRISM Program Inquiry GET INVOLVED WITH PRISM Thank you for your interest in being a part of our Pride, Respect, Identity, Safety and Mentoring Program (PRISM). The information in this form will be sent to our PRISM Program Coordinator who will reach out to you with more details on how you can get involved. Please note that PRISM is a new program at BBBSPY and is currently in development. We may not have an opportunity for you to be involved right away, but we will keep you informed on how and when you can get involved. Preferred Name(Required) First Last Pronouns Email Enter Email Confirm Email Number How would you like to be contacted about PRISM?(Required) Phone Call Email Text Message Please select how you would like to get involved with PRISM:(Required) Select all that apply to you. I want to be a mentor. I want to be a mentee. I am a parent/guardian wanting to refer my child to the program. I want to be a part of the PRISM Advisory Panel. I want to be a casual volunteer for PRISM. I want to be part of PRISM events and outreach. What is your current availability for volunteering?(Required) Are you over 18 years old?(Required) Yes No What is your age?(Required) What is the age of your young person?(Required) Do you have access to a computer or phone with video enabled?(Required) This is for the purpose of our online committee meetings. Yes No Where do you live?(Required) Richmond Hill Vaughan Aurora Markham Whitchurch-Stouffville King Newmarket Easy Gwillimbury Brampton Mississauga Caledon Keswick Bradford West Gwillimbury Questions or Comments(Required) Please use this space to ask any questions you have or to add any information you believe is important for the PRISM Program Coordinator to know. Comments This field is for validation purposes and should be left unchanged. Facebook Twitter Google+ LinkedIn
