SUPPORT OUR FOSTER YOUTH
The Fostering Change Network Foundation has developed a brand new program focused on coaching, life-skills, and experiential learning. The program is centered on supporting and guiding foster youth throughout the pre-college/vocational program process towards the completion of educational goals and launching a career.
Today’s Date
-
Month
-
Day
Year
Date
How did you hear about the program?
Student Name
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
Non-Binary
Best way to contact you
*
Phone
Email
E-mail
school or personal email
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who do you currently live with? If Foster Parent/Family, list their name and phone number.
Do you have a Case Manager/social worker? If so, list their name and email address
Do you have a Court Appointed Special Advocate (CASA)? If so, list their name and number
High School Graduation Date
*
-
Month
-
Day
Year
Date
Currently enrolled
*
Yes
No
Which semester will you begin in Fall 2020?
*
Freshman, Sophomore, Junior, Senior, or First Year, Second Year (Vocational Program)
What is your major or certificate/vocational program focus?
If undecided please type undecided.
Full Time or Part Time student
Full Time
Part Time
Not yet Enrolled
Which type of foster care did you (or are you) experiencing?
Formal Foster Care (Stranger)
Kinship (Family)
Adoption
Group Home or Residential Treatment Center
Other
Back
Next
What are your ambitions in life/what is your dream job opportunity?
What are your educational and career goals?
What inspired you to follow your ambitions and goals?
How have you overcome personal challenges and shown determination to succeed in your life?
Are there any commitments (work, volunteer work, etc.) or barriers that may prevent you from attending the program online or in person? If s please discuss below.
What are two reasons that you are applying to join the SOFY- Be the Change?
What do you hope to gain from participating in the program? (Please be specific)
Back
Next
Participating Agreement
*
I will communicate with the SOFY team, including my coach, weekly.
I will attend/complete all five weeks (including ten sessions of the SOFY program, which includes orientation, two weekly workshops, and closing celebration.
I will check my email, mentorloop and texts & respond in a timely manner( within 24 hours)
I will reach out to the SOFY team if I am facing a barrier that may prevent me from completing the program.
I will sign the program participation waiver.
Submit
Should be Empty: