NYFC Alumni Voices Form

As we begin to launch our new NYFC Alumni Program, we would like to learn more about you and your needs.

Please fill out this short 1-2 minute survey. If you have any questions or concerns, please reach out to our Youth Coordinator, Seline Surita-Seda at ssurita-seda@newyorkersforchildren.org.

Also follow us on Instagram @NYFCAlumniVoices

Contact Information

First Name

Last Name

Birthdate (mm/dd/yyyy)

Please put date in this format: mm/dd/yyyy.

Cell Phone

Email

Borough

If Other, Please Specify

Personal Information

Gender

If prefer to Self Describe, Please Specify

Are you Hispanic or Latino?

If YES, Please Select

If you chose other, Please specify

Please indicate your race

If Other, Please Specify

Name of Foster Care Agency

Education Level:

Undocumented?

YesNo

Short Response Section

Are you currently employed?

YesNo

Are you a parent?

YesNo

What do NYFC Alumni need the most support with?

What workshops would best benefit your needs (Choose all that apply)?

If you selected other above, please specify: