High School-Youth Survey  
This is a short questionnaire to get to know you and your educational needs. 
Email *
Hi, what is your name?  *
What grade are you currently in? *
What is your student ID? If you are unsure, type unknown.  *
What school are you attending?  *
How do you get to and from school?  *
What is your favorite food or snack? *
Are you involved in any Extra-curricular Activities (sports) or Activity Clubs? *
Do you know your rights as a youth in placement?  *
Do you need school supplies? If so, list below. If no supplies are needed, answer none needed.  *
Do you have a trusted adult to talk to on campus?
Clear selection
Do you have a trusted adult to talk to outside of school?
Clear selection
What is your favorite subject? Or do you need any help with a subject/s in school? 
What is something that makes you happy? Or a happy memory... *
What is something that is difficult? Or, something that can bring you down.   *
Have you met with someone from school, and reviewed your transcripts? *
Are you eligible for AB 167/216? *
If in the 11th or 12th grade, have you completed your FAFSA? *
What is your plan after high school?
Clear selection
Do you know how to get a work permit and where the Career Center is on campus?
Clear selection
If you are an 11th or 12th grader are you aware of AB12 Extended Foster Care?
Clear selection
If you are an 11th or 12th grader have you heard about the CHAFEE grant?
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If you are an 11th or 12th grader have you heard about "THP"  Transitional Housing Programs?
Clear selection
If you are an 11th or 12th grader have you heard about College/University Foster Youth Programs?
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As a high school student, do you have access to your important personal documents; such as Birth Certificate, Social Security Card, Identification Card or Drivers License? 
Clear selection
What is your favorite music, song or movie?
Thank you for taking time to answer all of these questions. Is there anything you need or would like to share about yourself?   *
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