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YoBD 2019-2020: Students
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Please enter your zip code.
Your answer
What is your date of birth?
MM
/
DD
/
YYYY
What are the last 5 digits of your DPS ID?
Your answer
When did you begin the YESS program?
MM
/
DD
/
YYYY
Have you interacted with Dino, the YESS Family Advocate?
Yes
No
Unsure
Clear selection
What is your gender?
Male
Female
Other:
Clear selection
Do you identify as LGTBQ?
Yes
No
Clear selection
What is your current housing situation?
Homeless
Runaway
I live at home
Other:
Clear selection
What is your race/ethnicity?
American Indian and/or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
Hispanic or Latino origin
Two or more races
White
Clear selection
Where do you attend school?
Abraham Lincoln High School
North High School
North Engagement Center
West Legacy High School
Adams City High School
Clear selection
What is your current grade?
8th
9th
10th
11th
12th
13th
14th
Clear selection
In the current and/or past year have you ever been truant?
Yes
No
Clear selection
In the current and/or past year have you ever dropped out?
Yes
No
Clear selection
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