Place of Birth: Years in the United States:

Plans within two years after High School Graduation (check all that apply):
Employment
Higher Education
Undecided
Other (please specify):

Directions: Below are a list of services for youth development. For each service, please check the box if you agree with the statement listed at the top. Please check each individual service listed in the parentheses that you consider very important.

PLEASE CHECK ALL THAT APPLY.

	I am aware of programs in the community that offer this service.	I use this service.	I would like to try a new program with this service.
Counseling and mentoring services
Personal growth self-awareness self-esteem discovering strengths managing and overcoming obstacles
Improving relationships friends classmates family teachers professional
Guiding interactions conflict resolution leadership teamwork diversity
Academic services homework and subject tutoring study skills other academic interests independent learning ESL ACT/SAT prep
College preparatory services choosing colleges application process financial aid preparing for college life
Immediate employment services summer part-time jobs internships job skills
Career services full-time jobs exploring interests goal planning career counseling
Community service opportunities individual projects group projects student-designed service projects

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