mit

Big Sibling Program
Massachusetts Institute of Technology
77 Massachusetts Ave, 50-005 Cambridge, MA 02139-4307
ph: 617-253-7990, 617-452-3499

dtavit@mit.edu, gunst@mit.edu

Links:

About the Big Sibling Program


Other similar Big Sibling programs


Apply to be a Big Sibling
   
FAQ's for Big Sibling applicants


Apply for a Big Sibling

Frequently Asked Questions for family applicants




 Big Sibling Family Application

Are you interested in having a "Big Sibling" for your adopted child or children?

Your Information
Your Name


Your local address


City/Town

ZIP

Your Occupation


Your Work Phone

Your Home Phone

Your Email Address





Spouse or Partner's Information (if applicable)
Name of Spouse or Partner

Spouse or Partner's Occupation

Spouse or Partner's Local Phone (if different)

Email Address of Spouse or Partner (if applicable)



How many children are currently living with you?  Please specify name and date of birth (mm/dd/yyyy)

1.
2.
3.
4.
5.

Please Note: Big sibling relationships provide not only a cultural connection for an adopted child, but also an opportunity for the adoptee's family to learn more about the adoptee's culture of origin and to become more racially aware.  It is to be expected that children age four and older are more likely themselves to benefit directly from the contact with a big sibling, whereas in cases where the adoptee is under four, the primary benefit will accrue to other family members.  Of course, should the big sibling connection continue for several years, the nature of the relationships will undoubtably change.

Families should keep in mind that it may take a bit longer to find a big sibling for a very young child.

For which child or children (listed above) are you looking for a Big Sibling?

1.  
2.  
3.  
4.  
5.  


Please list two individuals who could serve as references for you and your family, with their email address and/or phone number:


1.  Name:            
     
Contact info:

2. Name:             
   
Contact info: 



MAKING A CONNECTION...

State briefly your interest in having a Big Sibling and any information about your family that might be relevant to making a good connection:

Do you prefer a Big Sibling who is: (check all that you'd consider)

Sex
Male
Female

Age range/student status
undergraduate (usually ages 17-21)
graduate student (usually ages 21-30)


Do you prefer a Big Sibling of any specific nationality or ethnicity?  If so,
please list your preferences in order (if not, please leave blank):

1.
2.
3.
4.

Your child/children's race, ethnicity, country of origin  (OPTIONAL):

Notes/Comments:


What days/times are you most likely to be available?  Are you available on weekends? MIT holidays?



Will you be able to provide transportation for your child/children's Big Sibling to/from MIT?


What are your family's special interests, e.g. music, sports, theater, travel?


To assist our efforts to find the right Big Sibling for you, is there anything else you'd like to tell us about your family?



How did you learn of the Big Sibling Program?


 

Thanks for your interest in the Big Sibling Program.  We will be in touch.

 




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The page was last modified on Wednesday, November 13, 2002