WESN Pen Pal Program Intake Form
The West End Seniors' Network (WESN) Pen Pal program connects older adults with another individual (either another older adult or a younger individual) with letters sent by mail.

If you are interested in being a part of the program, please complete this intake form so that we can match you with a Pen Pal.

An initial start-up package of materials will be provided by WESN - this package will contain a pen, paper, stamps, and mailing envelopes.

If you have any questions, please connect with Jennifer at closetohome@wesn.ca. You may also connect with us at 604-669-5051.

If you require assistance with completing this online form, please contact us by phone.

We will email or phone you with more information once you have been matched.

For information about other WESN programs, visit our website at wesn.ca or view our monthly newsletter, which is available on our website, at Barclay Manor (1447 Barclay St), Kay's Place (118-1030 Denman St), and Clothes and Collectibles Thrift Boutique (110-1030 Denman St).
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First Name *
Last Name *
Phone Number *
Email Address
Full Mailing Address (Unit-Building Number, Street Name, City, Province, Postal Code) *
What age group are you in? *
We want to find you someone with similar interests and hobbies. What are some of your hobbies and interests? *
For your ideal Pen Pal, do you prefer male, female or no preference? *
For your ideal Pen Pal, do you prefer an older adult, adult, youth, or no preference? *
For your ideal Pen Pal, would you like to communicate in a language other than English? Please specify the language(s).
If you have other preferences or considerations that you would like to let us know about when finding a match, please specify.
WESN, its staff and its volunteers are not responsible or liable for the actions of others. Due to the COVID-19 pandemic, we advise not meeting with your Pen Pal in-person to ensure your safety. Do you understand and agree with these statements? *
Thank you for completing the intake form!
If you have any questions, please connect with Jennifer at closetohome@wesn.ca or 604-669-5051.

We will email or phone you with more information once you have been matched.
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