Pen Pals Project application form
This form needs to be completed by someone with parental / caring responsibility. This means you have legal rights and responsibilities as a parent / carer, including providing a home for, protecting and maintaining your child.

If you need help filling out this form please email us at penpals@deafchildren.org.au.
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Parent / Carer information
Parent / carer name *
Parent / carer's email address: *
This is the email you will use to send your child's letters to us, before we send them to their pen pal in the UK.
Parent/carer mobile number: *
Parent/carer preferred language: *
What state do you live in? *
Information about your child
Child’s full name: *
What is your relationship to the child? *
Your child's date of birth: *
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Your child's gender: *
Does your child identify as an Aboriginal and/or Torres Strait Islander?
This project is open exclusively to deaf and hard of hearing children. Is your child deaf or hard of hearing? *
How does your child prefer to communicate? *
Does your child have any additional needs, behavioural, emotional or physical support needs or disabilities, that we should know about?
This will help us to put additional support measures in place during the project if necessary.
Why would your child benefit from participating in this project? *
Is there any additional information you think would be important for us to know?
The next section should be answered by your child.
If you give permission, it will help us to pair your child with their UK pen pal, as well as helping us to improve the pen pal service. Please support your child to complete the form if necessary.
Can you describe yourself in three words? *
What things do you like? *
Is there anything you don't like?
What are your hobbies? *
Do you have deaf or hard of hearing friends? *
If you selected 'yes', how do you know each other and how do you communicate with them?
What would you most like to get from the Pen Pals Project? *
Required
Thank you for filling in this section! Please ask your parent or carer to fill in the rest of the form.
As part of a personal profile we create for each child when the project starts, we gather your child's first name, age, communication preference, description of themselves in three words, hobbies, likes and dislikes. With your consent, we use this information to match your child to a UK pen pal We  also share these answers with their pen pal. Please read the following statements carefully, and choose 'I accept' or 'I don't accept' for each one:
I agree that the Pen Pals team share the information listed below to match my child with a pen pal. *
(Child's first name, age, communication preference, description of themselves, hobbies, likes and dislikes.)
Required
I agree that the Pen Pals team share the information listed below with my child's pen pal. *
(Child's first name, age, communication preference, description of themselves, hobbies, likes and dislikes.)
Required
Additional Information
How did you hear about this project?
Data protection and privacy
Deaf Children Australia will use the information you give us so that we can support you throughout this project. We will share with the National Deaf Children Society only what we need to. We will never give any other organisation your information. *
Required
By returning this application form you are agreeing that your child will commit to sending/receiving letters for the duration of the project, if offered a place. However, we understand that situations change and sometimes children can change their minds about being involved. If this happens please let us know as soon as possible so that we can re-match their pen pal with another young person, by emailing penpals@deafchildren.org.au. Please don’t withdraw your child from the project without telling us as this may negatively impact the child or young person your child is matched with. *
Required
I have parental responsibility for the child named on this form and will be responsible for supervising them for the duration of the project. *
Required
I have provided all the information I believe to be relevant to this application and all of my child’s support needs are correct and complete. *
Please note, we may need to ask for some more information if your child is offered a place.
Required
If your child decides they would like to send a photograph of themselves to their pen pal, please tick this box to consent to the Pen Pals team sharing the photo with their pen pal's parent/carer via email. *
Please ensure no other person(s) are visible in the photograph, as we will not be able to forward these without each person's consent. Photos will only be shared with your child's pen pal and will not be saved by Deaf Children Australia or National Deaf Children's Society or used for any other purpose.
Required
Thank you for applying to participate in the Pen Pals Project! Please note that we operate a waiting list for this project and submitting this application does not guarantee your child a place on this round.
What happens next?  We will contact you by email within 5 working days to confirm we have received your application, and to give you more information. If you have any questions please email penpals@deafchildren.org.au.
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