I Need a Speech Pen Pal!
Please submit your student/group for penpal matches by February 28, 2015.  You will recieve your match by March 6, 2015.  Information shared on this form will only be made available to the therapist of the child with whom yours is matched.
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Name of the SLP *
Email of the SLP *
Initials of the child (or group name) you would like matched with a pen pal *
What kind of match are you looking for? *
Age of your student (if this will be done as a group give us the age range) *
Primary area you plan to target. *
Give us an idea of what level your student(s) is working at: *
Feel free to briefly expand on level/special circumstances here (optional):
City and state where your student(s) lives. *
Please give the full mailing address where the letter should be sent.  Suggested format is:  ATTN: (SLP name) and the school/clinic address.  Please do not share a child's home address! *
I understand that it is my responsibility to maintain my student's privacy and release Kim Lewis (Activity Tailor) and Gabby Schecter (Middle School SLP) from any liability related to this project. *
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