COLAGE : Programs : Pen Pals : Apply for a COLAGE Pen Pal

APPLY FOR A COLAGE PEN PAL

PEN PALS

Apply for a COLAGE Pen Pal

Hear from Pen Pal Participants

team Apply here by filling out the form below. Or, download an application that you can mail in:
Pen Pal Application

Please allow time for your pen pal to respond. Unfortunately, we cannot guarantee a perfect match or a response. If you have any questions, contact us.

COLAGE Pen Pal Application Form

The COLAGE pen pal program is only for children with lesbian, gay, bisexual and transgender parents.

ALL Fields are REQUIRED!

Personal Info:

	First name:
	Last name:
	Nickname:
	Birthday (mm/dd/yy):
	Grade:
	Gender:
	Race/Ethnicity

Contact Info:

	Email:
	Address:
	*Address 2:
	City:
	State/Providence:
	Zip/Postal Code:
	Country (if not USA):

* = optional unless you have a 2nd Address

Questionnaire:

Do you have (Check all that apply):

Lesbian/Bisexual Mom(s)
Gay/Bisexual Dad(s)
Transgendered/Transexual Parent(s)

Is AIDS/HIV an issue in your life?

Have any of your parents divorced or separated? Please mark all that apply.

Divorced
Separated
Split-up

Are you differently abled?

Please check all that apply:

Adopted
Alternative or donor insemination

Do you attend meetings or go to a COLAGE chapter in your area?

If yes, which one?

Tell us about yourself (for example, hobbies, interests, etc.)

Please tell us about your family:

Describe what you would like in a pen pal:

What language(s) other than English do you speak?

Would you be willing to correspond with a pen pal who speaks
one of these languags?

How often do you want to write to your pen pal?

Would you rather e-mail or write to your pen pal?

To make sure you get information from us about your new pen pal, please add colagepenpal@yahoo.com and penpal@colage.org to your safe senders list in your email account.

To send your application to COLAGE, please press the "Submit Application" button (just once!).
Thanks!

Make sure all fields are filled in!