Chinese Cultural Centre of Greater Toronto

Children's Bridge Friendship Program
with Adoptive Families and Chinese Families (Toronto)

Co-organized with Chinese Cultural Centre of Greater Toronto

Application form for Chinese Immigrant Family

Name (Husband):

(English)_______________________________(Chinese)________________Age: _____

Hometown: (Province) __________________ (Town/Village) ____________________

Name (Wife):

(English)_______________________________(Chinese)________________Age: _____

Hometown: (Province) __________________ (Town/Village) ____________________

Address in Toronto:

___________________________________________________________________________

Tel: _________________ Fax: ________________ E-mail:_______________________

Languages Spoken: _________________________________________________________

Hobbies/Interests: ________________________________________________________

Why do you want to participate in the program?

When did you become a landed immigrant:____________________________________

Number of Children you have: __________Their Ages: ________________________

Family Annual Income: _____________________________________________________

Current Employers:

Husband's : _______________________________________________________________

Wife's ____________________________________________________________________

Education:

Husband's : _______________________________________________________________

Wife's ____________________________________________________________________

Professions:

Husband's: ________________________________________________________________

Wife's ____________________________________________________________________

Work Experience:

Husband's: ________________________________________________________________

Wife's ____________________________________________________________________

Remarks: __________________________________________________________________

Applicant's Signature: _______________________ Date: ______________________