Chopstix New Mentee Application (2017-18)
Hello and thank you for showing interest in the WashU China Care Chopstix program!

Our mentorship program aims to give young adopted children healthy role models and to present them with opportunities to explore Chinese and Asian culture and socialize with others of similar backgrounds.
Parents, please take a moment to fill out the form below so that we can later match future mentees with their mentors of similar interests and personality.
Applications are due by Sunday, September 3rd, 2017 by 11:59pm.

Thank you! We cannot wait to meet you!

Priscilla Mei and Sian Zhang

Mentee Name
Your answer
Name(s) of Parent(s)
Your answer
Phone Number(s)
Your answer
Email
We will be communicating with you about playgroups and other events through this email
Your answer
Mentee Age
Your answer
Mentee Grade
Your answer
What are your expectations - as parents - for the program?
Your answer
How would you describe your child in terms of personality?
Your answer
What are some activities you would like your child to participate in?
Your answer
Please list your child's interests/hobbies/passions/etc.
Your answer
What are your child's favorite foods? Most disliked foods? Does your child have any dietary restrictions?
Your answer
What are the most convenient times that your child will most likely be able to attend a playgroup (usually lasting approximately 2 hours)?
Your answer
Please list any other concerns you have.
Your answer
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