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Not a parent or guardian? Refer a child you know here.

We know this year has been a challenging time for many families. We’re here for you.

Do you know a child between the ages of 7-12 in the Eastern Massachusetts area, Cape Cod or Martha’s Vineyard who could use a mentor? Fill out our quick referral form here and we’ll get back to you within the next couple of days. Thank you!

Refer a Youth You Know

Referrer's Information






By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP at any time to opt-out of further messaging. We will never sell, share or trade your name or personal information with any other entity.




Guardian Information












Alternate Contact Information



Child's Information





BBBSEM is committed to being an anti-racist organization. We use racial indicator information to hold our agency accountable as we strive for greater equity.



*By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP at anytime to opt-out of further messaging. We will never sell, share or trade your name or personal information with any other entity.