APIQWTC pen pal questionnaire

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in the APIQWTC intergenerational pen pal program! Depending on how many participants sign up, we will do our best to pair you with a pen pal who fits your preferences. Please fill out and submit this form, and our pen pal team will reach out to you via email with further instructions.

Email *

What is your name? *

What are your pronouns?

Do you consider yourself a youth, melder or elder? *

Youth

Melder (middle elder)

Elder

Other (see next question)

If "other," please specify your age or what age group you consider yourself.

Are there aspects of your identity that you'd like your pen pal to match (e.g. gender, sexuality/sexual orientation, ethnicity)? If so, please tell us which one(s).

What is your mailing address? [This will not be shared until both paired letter writers give consent.] *

Any other questions or comments?

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms