BTG: Penpal application

To register with "Bridging the Gap" please complete this form and submit it to us.
Please put a tick into all relevant checkboxes.
All information is treated with the strictest confidence, and in line with the Data Protection Act 1998.

Title:*

Mr Mrs Miss Ms

Other

Surname:*

First name(s)*

Sex:*

Male Female

Date of birth (dd/mm/yyyy):*
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Home address:*

Postcode:*

Telephone number (including dialling code)*

Email address:*

Occupation:*

Interests/Hobbies:*

Would you like to be added to our mailing list?*
Yes No

How many people would you like to correspond with?

From:

Please state any preferences about who you would like to write to (eg age, sex etc):

Is there any type of person you would specifically not wish to write to?:

Have you ever been convicted of a criminal offence? Yes No

Although under the Rehabilitation of Offenders Act you do not need to answer this question if your conviction is classed as spent, we ask it because sometimes the inmate requests to write to someone who has had a conviction.
Conversely we also get requests from inmates to write to people who haven't had convictions.
Whatever you put in, or omit from this section will not bar you from writing to an inmate.

Would you be interested in receiving information about speaking engagements/training sessions? Yes No
Please use this space for any other comments, requests or questions you may have.

Bridging the gap reserves the right to make enquiries into the background of both inmates and volunteers, and either not to proceed with applications or to terminate associations with the voluntary organisation, should good cause be found to do so.

Data Protection Act 1998: Bridging the Gap will store this information on their computer system and use it for the purpose of administration only. It will not be disclosed outside Bridging the Gap.

*I would like you to process my application for a penpal

*Required Field

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