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Youth & Alumni Survey

Please fill out and send to us so we can better serve you.

Thanks,
Aspen Youth Experience Staff

Personal Information

* First Name:

* Last Name:

* Address:

* City:

* State:

* Zip:

* Home Phone:

* Cell Phone:

* Other Phone:

* Email:

* Gender:

* Ethnicity:

If you selected other, describe your ethnicity:

Parent or Guardian Information

* First Name:

* Last Name:

* Address:

* City:

* State:

* Zip:

* Home Phone:

* Cell Phone:

* Other Phone:

* Email:

School

* What grade did you last finish?

* Are you currently attending school?

If yes, what type?

If no, why did you stop going?

* Do you want to start again?

* Do you have a high school diploma?

If not, do you have a GED?

* Do you have a college degree?

If yes, for what major:

If yes, from what college:

* Have you ever applied for an Aspen Youth Experience college scholarship?

If yes, how much have you been awarded?

Work

* Are you currently working?

If yes, how often?

Name of current or last company:

Title or type of job:

* How long have you been at this job?

* How many different jobs have you had in the last year?

* What type of job would you like to have in the future?

Housing

* Where do you currently live?

If you selected other, describe your housing:

* How long have you lived there?

Health

* How do you rate your physical health?

* Are you worried about your physical health?

If yes, why?

* How do you rate your mental or emotional health?

* Are you worried about your mental or emotional health?

If yes, why?

Goals

* What are your current goals?

Involvement with Aspen Youth Experience

* How would you rate your overall expereience with Aspen Youth Experience?

* What does Aspen Youth Experience do best?

* What could Aspen Youth Experience improve?

Last Question

* What should we know about you that we have not asked?

* Required Fields