Youth Opportunities

Are you ready to take the next step to your independence? Please fill out the form below to let us know more about you.

Your name*
First Last
Your address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Your email*
Your phone*
Birthdate*
Month
Day
Year
Please choose which best describes you:*
- I have a High School Diploma
- I have a GED
- I am still in high school
- I am working toward my GED
What month and year did you receive your diploma or GED?*
Are you able to produce a high school transcript or GED showing you graduated?*
- Yes
- No
Are you a citizen of the United States?*
- Yes
- No, but I have a Visa/Green Card
- No, I am not a citizen
Are you currently homeless or soon to be homeless?*
- Yes
- No
- Maybe
Were you ever in Foster Care in the state of Georgia?*
- Yes
- No
Please list the years you were in Georgia Foster Care.*
Example: 2018-2021
Your age while you were in foster care.*
Example: 8-14 years old.
In which Georgia County was your DFCS foster care case?*
What was the name of your Georgia DFCS Case Manager?*
If you had several Case Managers, please list your most recent.
Are you still in foster care?*
- Yes
- No
Where did you go after you left foster care?*
- I returned back to my birth family
- I was adopted
- I lived on my own
- I went to live with friends
Are you currently attending or enrolled in a University or Technical College Program?*
- Yes
- No
- Interested in applying
What University or Technical college are you currently enrolled in?*
What University or Technical college are you seeking to enroll in?*
Are you receiving funding through the Georgia Tuition Waiver Program?*
- Yes
- No
- Unsure
How are you paying for the Technical College or Vocational Training Program?*
Check all that apply.
- FASFA/Pell Grant
- ETV Funds
- Tuition Waiver
- Scholarships
- Paying myself or with help from family/friends
- Other
If you checked "other" please explain.
While attending Technical College or Vocational Training, what kind of support will you need or be interested in?*
Please check all that apply.
- Food
- Housing
- Medical Care, Counseling, or Medication
- Clothing
- Tuition
- Cell phone
- Transportation (car, insurance, MARTA, etc.)
- Household Items (furniture, supplies)
- Other
If you checked "other" please explain.
Are you currently employed?*
- Yes
- No
Who is your employer?*
How many hours do you work each week?*
Do you have a Georgia Driver's License or Identification Card?*
- Yes
- No
Do you have a copy of your birth certificate?*
- Yes
- No
Do you have a Social Security card?*
- Yes
- No
Have you taken any college placement exams such as SAT, ACT, or Accuplacer college entrance exams?*
- Yes
- No
Who or what organization referred you to apply to Youth Opportunities?Untitled*
- Fostering Success Act
- Embark
- ILS (Independent Living Specialist)

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