2025-2026 Penpal Registration Form
"Healing Letters" is a pen-pal program created by Cherishing Youth designed to raise awareness and provide assistance for students dealing with mental health issues. By connecting students from various regions who face similar mental health challenges or share common interests, we aim to foster a supportive environment. This form will be used to pair students accurately, so we encourage honest responses. For any clarifications about the questions, feel free to email us at cherishingyouthorg@gmail.com.
Full Name (First, Last)
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Age: What is your age? Are you currently in high school? If yes, what is your grade? (You don't have to be a high school student)
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Email
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Instagram (optional)
Pronouns (optional)
We'd love to get to know you better! Can you share some interesting facts about yourself? What interests or excites you? Do you have any hobbies or passions?
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What challenges have you been dealing with lately? How would you describe how you're feeling mentally?
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Desired Pen-pal Characteristics: What characteristics are you looking for in a pen-pal? (e.g., similar struggles, similar interests)
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Guidelines for Healing Letters
Please check the following boxes to indicate you have read and understood the guidelines for the penpal program.
Eligibility: The program is open to young adults experiencing mental health issues. We encourage those who are seeking understanding, support, and connection to participate.
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Confidentiality: All participants must commit to maintaining the confidentiality of their penpal's information and experiences shared in the letters.
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Respect: The language used in communication should be respectful and considerate. Any form of bullying, discrimination, or hate speech is strictly forbidden.
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Supportive Environment: The aim of this program is to create a supportive environment. Participants are encouraged to share their experiences, coping strategies, and positive affirmations.
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Moderation: All letters may be subject to review by a designated program coordinator to ensure they follow the guidelines.
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Professional Help: This program is not a substitute for professional mental health services. If a participant is in crisis, they should seek help from a mental health professional immediately.
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Escalation: If participants feel uncomfortable with the contents of the letters, they are encouraged to report it to the program coordinator.
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Submit
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