1.Name

2.Email

3.Phone number

4.Please select what best identifies your position

Youth in care (foster, adopted, kinship, residential, shelter) (under the age of 18)

Young adult who aged out of care or is over the age of 18 and previously experienced care

Social worker

Caregiver

5.If you are a youth in care please identify your current placement

Foster Care

Kinship (living with relative)

Adopted

Residential facility

Shelter

Homeless

AfterCare

None of the above

6.How do you prefer to receive information about AMP

Email

Phone call

Text

7.Are you wanting to be reached out to about what resources may be available to you

Yes

No

8.Would you like to be added to an email list about AMP meetings, events, and resources we come across that could benefit youth and families?

Yes

No

9.Would you like to be added to an email list about a group that works on child welfare policy?

Yes

No