PrisonPenPal4u — Inmate Profile Intake Form

Fill this out online and submit. Family members, friends, and inmates with internet access can use this form.

About You (Submitter)

Tell us who's submitting this. If you're a family member or friend submitting on behalf of an inmate, fill these in. If the inmate is filling it out themselves, just put their name and inmate ID below in the main section and leave these blank.

Your name:

Relationship:

Your email:

Your phone:

Inmate Information

First name:*

Last name:*

Nickname:

Inmate ID #:*

Date of birth:

Race/Ethnicity:

Gender:

Orientation:

Height:

Weight:

Facility & Mailing Address

This is the address mail to the inmate will be sent to. Write it EXACTLY as it should appear on an envelope.

Facility name:

Street/PO Box:

City:

State:

ZIP:

Sentence Information

Crime category:

Sentence length:

Expected release:

Parole eligibility:

About / Biography

Tell readers who this person is, what they enjoy, and what kind of correspondence they're hoping for. Minimum 50 characters. Keep it positive and avoid graphic content.

Interests & Personal Details

Hobbies:

Interests:

Favorite books:

Favorite music:

Religion:

Education:

Relationship:

Skills/work:

Looking For — check all that apply

Friendship Mentorship Romance Writing exchange Support/encouragement

Willing to Write — check all that apply

Men Women LGBTQ+ Overseas

Photo

Photo upload isn't part of this short intake form. After submission, we'll email instructions for sending or uploading a photo.

Plan & Payment

Choose a plan

Basic — $65.00/year · 1 profile photo, full bio

Premium — $100.00/year · 5 photos, writings/poetry, featured eligibility

After you submit, we'll email instructions for paying by check (mail) or card (Square). Your profile will go live once payment is recorded.

By submitting: You confirm the inmate has consented to a public listing. You agree to our terms (https://prisonpenpal4u.com/terms.php) and privacy policy (https://prisonpenpal4u.com/privacy.php). Listings are reviewed before publication and renew annually.

Signature:

Date: