YOUTH SURVEY: Young child:3-5 years, School-age child:5-12 years, Adolescent: 13-17 years. If you are a Youth, please fill out the survey information in your own words. (Parent(s) or Guardian may help you). !!YOUR VOICES MATTERS!!  !!CALIFORNIA IS THE PLACE YOU CALL HOME!!  A PARENT/GUARDIAN, (Must) SIGN this FORM. The California Neighborhood is revising the 1982 STRATEGIC COMPREHENSIVE PLAN!!      

THE CALIFORNIA NEIGHBORHOOD IS IN THE PROCESS OF MAKING REVISIONS TO OUR 1982 STRATEGIC COMPREHENSIVE PLAN.  We need to hear from all the youth that LIVE AND CALL The CALIFORNIA COMMUNITY HOME.  

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YOUTH SURVEY:
Youth Name: *
Youth Age: *
Address: *

Parent/Guardian Name: 

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1.What DO you want to see in California Neighborhood? 

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2. If your answer is STORE or BUSINESS to question (1) PLEASE STATE, THE TYPE OF STORE OR BUSINESS.

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3. What DON’T you want to see in California Neighborhood?

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4. HOW DO YOU WANT THE LAND in California Neighborhood to be used, (vacant lots, abandoned, houses, etc.)?

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5. WHAT PROGRAMS and SERVICES would you like to see in California Neighborhood?

 

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6.  Do you currently live in the California Neighborhood?

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7. How long have you been a resident, (Live) of California Neighborhood? 

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8. What is your history relating to the California Neighborhood?

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Parent/Guardian Signature: 
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A copy of your responses will be emailed to the address you provided.
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