Are you a student with a background in foster care, kinship care, or another type of alternative placement? If so, we invite you to complete this short form to let us know how we can best support you. Whether you are looking for academic help, housing support, or just want to connect with others who share similar experiences, we are here to help.

Your information will be kept confidential and only used to connect you with the resources and support you request.


Name:
Student ID:
Email:
Phone:
Preferred Contact Method (Email or Phone):
Preferred Pronouns (optional):
Have you been in any of the following situations before the age of 18? (Select all that apply)
At what age did you leave foster care or alternative care arrangement (if applicable)?
What type of support are you hoping to receive while in college? (Select all that apply)