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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 Application

Are you interested in being a "Big Sibling" for an adoptive child in the Boston area?  

Your Information
Your Name


Your local (campus) address


Your Permanent Address
(Apt or Suite if applicable)



City/Town

ZIP

Your Local Phone

Your Home Phone

Your Email Address




Date of birth


Field of Study
(Dept)


Grad/Undergrad



First degree sought &
Expected date
,

Ultimate degree sought & Expected date
,


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)



Do you have any children currently living with you?  Please specify name and date of birth (mm/dd/yyyy)

1.
2.
3.
4.
5.


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


1.  Name:            
     
Contact info:

2. Name:             
   
Contact info: 



MAKING A CONNECTION...

State briefly your interest in being a Big Sibling and what you have to offer an adoptive family:

Do you have a preference for being a Big Sibling for a: (check all you're happy to be considered for)

Sex
Male
Female

Age range
0-3 year old
3-6 year old
6-10 year old
10-14 year old
14-18 year old

In considering the question of age, 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.

Number
Single child
Sibling Group  

        maximum #


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

1.
2.
3.
4.

Your 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?



Do you have a car or will you be relying on public transportation?


Are you a smoker/non-smoker?



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

To assist our efforts to find the right little sibling for you, is there anything else you'd like to tell us about yourself?



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 Monday, November 5, 2002