Chopstix Mentee Information
Dear Chopstix Parents,

Please take a moment to fill out this form. We would like to get some updated information so that we can improve our program. Later, we will distribute a roster of all mentors and mentees in the program.
Please submit your answers by Friday, August 12th, 2016.

Thank you!

Yihan Li and Ruyan Zhang
Chopstix Coordinators 2016-2017

Name of Mentee
Your answer
Age
Birthday
MM
/
DD
/
YYYY
Grade
Years in program
Hobbies
Your answer
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