Foster Youth Application

Basic Information

First name

Last name

Phone

Are you currently in foster care or extended foster care (AB-12)?

Date of Birth*

How old are you?*

Do you currently have housing*

Program Requirements

Are you willing to commit to meeting with your coach virtually 3 times per month for 6 months?*

It is mandatory to complete a virtual orientation to participate. I understand that in order to officially participate in Sparks, I must attend the mandatory virtual orientation.*

Demographic Information

Preferred Pronoun

Gender

Race/Ethnicity

Additional Information

How many years did you spend in foster care?*

How many placements have you/did you experience?*

Upload any proof of foster care documentation (Ex: ward of court letter, letter from a social worker, dependency letter, etc.)

Do you have any Dependents?

Do you have access to reliable transportation?

Do you have access to reliable internet? *Note, this is a partially virtual program so you will be meeting with your coach via zoom, google hangouts, etc.

Do you have access to a laptop?

Do you have access to these public benefits (select all that apply)?

Snap

AB-12 (extended foster care)

T-Shirt Size

Social Media

Linkedin profile: link or handle

Instagram: link or handle

Facebook: link or handle

Twitter: link or handle

Education

What is the highest level of education that you have received (select all that apply)?

What is your current education status?

Career Experience

Have you ever had an internship?

Have you ever had a part-time or full-time job?

What is your current professional experience?*

Career Interest

What is your dream career?

Select your first choice of career interest

Select your second choice of career interest

Mentorship Needs

Which program track?

What life skills would you like to work on in the next 6 months?

When we match you with your career coach, how important are the following factors? (1= not important; 3=somewhat important; 5=very important)

Racial representation (ex: same racial background as you)*

Gender representation (ex: same gender as you)

Location (ex: a coach that lives close to you)

Career interest (ex: a coach that has a job that you are interested in)

Mentorship Experience

Do you currently have a supportive adult in your life?*

Have you had a career coach or mentor before?

Why do you want a mentor?

What does success in this program mean to you?

Get to Know You

What are your hobbies?

Reference

In order to participate, we need a professional reference to let us know why you would be a good candidate for Sparks! This reference can be a former teacher, supervisor, colleague, resource parent, social worker, or anyone who has known you in a formal context. Please DO NOT put your own contact information or a personal reference. Your reference will be emailed a reference check form upon submission. If you have any trouble coming up with a reference, please email admin@fosternation.org and we can help!

Reference First Name

Reference Last Name

Reference Email