PEN PAL QUESTIONNAIRE
Participants From All Other Countries

This form is to be used by people living in all countries not listed on the previous page. If live in the USA, US Territories, the Baltics or the C.I.S., click the "Back" button on your browser to return to the previous page and make another choice regarding your country of residence.

AGE REQUIREMENTS: SAPE IS FOR AGES 10 AND OLDER ONLY.  PLEASE NOTE THAT WE DO NOT ALWAYS HAVE PENPALS ABOVE THE AGE OF 40 AVAILABLE.  WE DO NOT WISH TO DISCOURAGE ANYONE FROM APPLYING, BUT APPLICANTS AGED 40 AND UP SHOULD KNOW THAT THEIR REQUEST MAY BE KEPT FOR UP TO 90 DAYS UNTIL A SUITABLE PENPAL IS FOUND.  IF WE DO NOT RECEIVE ANY REQUEST FROM A SUITABLY-AGED PENPAL WITHIN 90 DAYS, THE APPLICATION FORM WILL BE RETURNED.

IF YOU ARE UNDER THE AGE OF 18, YOU MUST HAVE YOUR PARENT OR LEGAL GUARDIAN'S PERMISSION TO APPLY FOR A PENPAL AND TO PARTICIPATE IN THE SAPE PROGRAM.  APPLICATIONS FROM CHILDREN UNDER THE AGE OF 18 THAT ARE RECEIVED WITHOUT A PARENT'S SIGNATURE WILL NOT BE PROCESSED.

STEPS:
1) Print this form
2) Answer all of the questions
3) You must also send us an unsealed envelope with your address and enough International Reply Coupons (IRC's) to pay for postage to send your pen pal's information to you (see IRC postage chart below). IRC's can be bought at any post office in the world. If you've never heard about them, ask your postmaster. If you do not enclose the SAE and the IRC's, your application will not be processed.
4) Send completed form and self-addressed envelope with postage to:

SAPE, P.O. Box 319, Monroe, CT 06468-0319

TEACHERS: IF YOU HAVE A CLASS OF STUDENTS WHO WANT PEN PALS, EACH STUDENT MUST COMPLETE A FORM. EACH OF YOUR STUDENTS WILL RECEIVE THE NAME AND ADDRESS OF A PEN PAL, BUT WE MUST ALSO BE ABLE TO PROVIDE THE PEN PAL IN THE OTHER COUNTRY WITH THE NAME AND ADDRESS OF HIS OR HER NEW PENPAL (YOUR STUDENT).

NOTE: WE PROVIDE PEN PALS IN THE FORMER
SOVIET UNION AND THE BALTIC NATIONS ONLY

International Reply Coupon Chart
You can buy IRC's at your local post
office. We can exchange them at our
post office for stamps to send your
pen pal's information to you.

Number of
pen pals you
are requesting

1 pen pal

2-10 pen pals
11-20 pen pals
21-30 pen pals
31-40 pen pals
41-50 pen pals

Amount of IRC's to
send with the self-
addressed envelope
and this form

1 IRC

2 IRC's
3 IRC's
4 IRC's
5 IRC's

6 IRC's

Name & Surname: __________________________________________________
Address: __________________________________________________
City: __________________________________________________
State: __________________________________________________
Zip Code: __________________________________________________
Country: __________________________________________________
If you have an email
address,  write it here:

__________________________________________________
Are you Male or Female? __________________________________________________
Your Age: __________________________________________________
(NOTE: SAPE IS FOR AGES 10 AND OLDER ONLY)
Languages You Know: __________________________________________________

STOP!!  READ THIS!!!
IMPORTANT: If you do not send a self-addressed envelope and enough IRC's to pay for postage with your form as stated at the top of this form, your pen pal request WILL NOT BE PROCESSED AND YOU WILL NOT RECEIVE ANY RESPONSE FROM US. We simply don't have the money to send you a letter to tell you that you forgot to include a SAE and the IRC's.

In the spaces below, write NUMBERS to tell us how many of each kind of penfriend you want.

__________ Male (how many?)

__________ Female (how many?)

__________ No Preference (how many?)

We can't guarantee a pen pal from a specific region, but if you have a geographic preference, please state this below. (The countries you may choose from are: Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakstan, Kyrgyzstan, Latvia, Lithuania, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine, Uzbekistan). We'll try our best to fill all geographic requests. If you have no preference, leave this box blank.

__________________________________________________

NOTE: WE PROVIDE PEN PALS IN THE FORMER SOVIET UNION AND THE BALTIC NATIONS ONLY

STATEMENT OF TRUTH AND INTENT: By signing my name below, I declare that all information given on this questionnaire is true and accurate. I also guarantee that I am the person who will be corresponding with all penpals requested by me on this form. I promise that none of the penpal addresses or information provided to me by SAPE will be redistributed or resold by me and none of the penpal addresses or information provided to me by SAPE will be posted on the internet for any reason whatsoever. (Sign your name and write today's date in the space below.)

Signature: _________________________________________________________ Date: ________________

IF YOU ARE UNDER THE AGE OF 18, YOU MUST HAVE YOUR PARENT OR LEGAL GUARDIAN'S PERMISSION TO APPLY FOR A PENPAL AND TO PARTICIPATE IN THE SAPE PROGRAM.  APPLICATIONS FROM CHILDREN UNDER THE AGE OF 18 THAT ARE RECEIVED WITHOUT A PARENT'S SIGNATURE WILL NOT BE PROCESSED.

I certify that I am the parent or legal guardian of the above applicant and he/she has my permission to apply for a penpal and to participate in the SAPE Program.

Parent's Signature: _____________________________________________________ Date: ________________

If you are unable to print this form, just write the same information on a piece of paper and send self-addressed envelope and the number of IRC's indicated above to:
SAPE, P.O. Box 319, Monroe, CT 06468-0319, USA

IMPORTANT: If you do not send a self-addressed envelope and enough IRC's to pay for postage with your form, your pen pal request WILL NOT BE PROCESSED AND YOU WILL NOT RECEIVE ANY RESPONSE FROM US. We simply don't have the money to send you a letter to tell you that you forgot to include a SAE and the IRC's.

If you are copying this application by hand, you must copy the words of the above statement IN ITS ENTIRETY and sign your name underneath. If you are unwilling to abide by this privacy policy and sign the above statement, we cannot match you with a penpal.

DO NOT EMAIL THIS FORM OR YOUR INFORMATION. WE DO NOT ACCEPT APPLICATIONS OVER THE INTERNET ! ! !