LIONS ACADEMY QUESTIONNAIRE
Every Lion starts here. To be completed by parents, guardians, court officials, and care professionals. A member of the C2C team will contact you within 48 hours to begin the LIONS process.
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Share a few details about you and the youth you’re enrolling so the C2C team can contact you within 48 hours.
Full name
*
I am a
*
Parent or guardian
School or educator
Court or justice professional
Community organization
Other
If Other, please explain
Organization
*
Your Job Title
*
Email
*
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Best way to reach you
*
Call
Text
Email
City
*
State
*
How many youth?
*
1
2–5
6–10
11+
How old is your young person?
*
Please Select
10
11
12
13
14
15
16
17
18
Which age ranges?
10–12
13–15
16–18
Which creative expressions do you see in the youth you're enrolling?
*
Visual
Performance & Communication
Entrepreneurial & Innovative
Hands-On & Technical
Culinary & Service-Based
Collaborative & Community
Not sure yet
What current challenges are they facing?
*
School performance or attendance
Behavior or decision-making
Court or justice involvement
Lack of direction or motivation
Confidence or self-worth
Peer influence
Family transition
Anything else we should know?
How did you hear about C2C?
*
Referral
School
Court or probation
Social media
Event or speaking engagement
Other
Who referred you?
*
I understand the LIONS Assessment for youth under 18 is always conducted by a parent, guardian, or professional.
*
I agree
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