Instructions: Please answer the following questions and provide a
paragraph or two for the essay questions.
PLEASE NOTE: there are not right or wrong answers. Our goal will be to
select an All-Star team that represents diversity in culture, race,
educational experience, skills, personal qualities, and in foster care
background. Just do your best to answer honestly and represent the true
you!
All questions with an * must be answered
I have read all of the above paragraphs concerning the All-Star application
process.
Yes No
I understand that it is in my best interest to download the Word or PDF copy of
the application and write my answers BEFORE submitting through this online
survey. Once I submit, I can't add to this application at a later time.
Yes No
I understand that I need two Recommendations written by two adults who know
me well, and the Recommendations must be submitted online through
www.fosterclub.com (and CANNOT be mailed or faxed).
Yes No
I understand that I must complete this application entirely, plus have two
recommendations submitted online by February 15th to have a complete
application.
Yes No
I understand this application may require 2 hours to complete.
Yes No
2009-2010 FosterClub All-Star Program
Part 1: CONTACT INFORMATION
First name:
Last Name
FosterClub username
Birthdate: MM/DD/YYYY
Age as of 6/10/10 (the starting date of the internship):
Gender: Male
Female
Address:
city
state
zip
Phone Number:
Email Address
Race (optional)
Black
White
Asian and Pacific Islander
Hispanic
American Indian
Other (please specify)
Is English your first language?
Yes
No
Other languages spoken
EDUCATION
Education Status
Still in High School
Working on GED
Graduated from High School
Obtained GED
Enrolled in College
Graduated from College
Graduate Student
Other (please specify-deleted)
Name of Last/Current School
Most recent G.P.A.
What are your educational goals?
EMPLOYMENT & CAREER
Employment History
Employer
Time Employed
Employer Address
Manager
Phone
Job Description
Employment History
Employer
Time Employed
Employer Address
Manager
Phone
Job Description
Which of the following work skills do you have:
public speaking
PowerPoint
Microsoft Word
office skills
writing
digital photography
web page building
sports/athletics background
drama background
singing
foreign language
experience with disabilities
Other (please specify while responding to the next question)
Please provide some detail about your skills:
What are your career goals?
LEADERSHIP & PARTICIPATION
Are you part of a Youth Leadership Board or Advisory Council?
Yes
No
If yes, name of Youth Board
ESSAY: Describe your leadership and volunteer activities. Include specifics
about the types of activities you participated in and the organizations that you
worked with.
ESSAY: Please list and describe any honors or awards that you have received.
ESSAY: How have the experience(s) you have had that would prepare you for
working with and mentoring other foster youth.
ESSAY: Why is it important that young people in foster care have an opportunity
to improve the foster care system and support their peers in foster care?
FOSTER CARE EXPERIENCE
Are you still in foster care?
Yes No
Number of years in foster care:
Less than one year
1-3
4-7
8-12
13-17
17 or more
Date exited foster care (It’s ok to guess)
MM / DD / YYYY
Current living situation:
Foster home
School
On my own
Shelter
Adoptive home
Relative home
Group home
Other (please specify-removed)
I am currently in an Independent
Living Program
Yes
No
Name of a recent caseworker
Name
Organization
City & State
Phone
Email
Do you now or have you ever worked with or received assistance from any of the
following (check all that apply):
CASA (Court Appointed Special Advocates)
OFA (Orphan Foundation of America
Jim Casey Youth Opportunities Initiative
FCAA (Foster Care Alumni of America)
ESSAY: Provide a brief background of your foster care experience (number of
homes, types of placements, ages while in care, etc.). Please include your
current foster care status (emancipated, adopted, guardianship, still in foster
care, etc.).
ESSAY: How have you been successful living independently? If you are not yet
living independently, how are you planning for living on your own after foster
care? What are your goals for continued independent living?
ESSAY: Please talk about one difficult challenge you’ve faced through your
foster care experience.
ESSAY: How has being in the foster care system been a positive experience?
PERSONAL
Have you applied for the FosterClub All-Star program previously?
ESSAY: Please explain a time when you dealt with someone who was much
different than you based on race, disability, religion, political views, or sexual
identity.
ESSAY: Why are you interested in becoming a FosterClub All-Star?
ESSAY: What are your hobbies and interests? What do you like to do in your
spare time?
GENERAL
List any limitations you may have to participating in the entire summer program
(dates not available to attend, work obligations, school begins before tour is
complete, etc.)
Please list any health concerns, including allergies and medications taken.
Have you ever been convicted of a crime (note: this does not necessarily make
you ineligible for the All-Star program. We consider each case individually. If you
do have a criminal record, please include as many details as possible, including
your age at the time of the crime)?
Yes
No
If YES, please provide details:
Some states and organizations have chosen to Sponsor an All-Star Position.
Youth selected for these “Sponsored All-Star Positions” will be required to fulfill
extra obligations throughout the year, such as speaking to groups, working with
other youth, or serving on an Advisory Board. All of these activities would be
scheduled only if they do not interfere with school and work. If you are
selected for a sponsored All-Star Position, are you able to give a one-year
commitment to the All-Star Program?
Yes
No
Emergency
Contact
Name
Relation
Phone
I promise that the information in this application is true to the best of my
knowledge.
Yes
No
I verify that my current telephone or contact number is:
I verify that my current email address is:
Please consider this application for the OUTSTANDING YOUNG LEADER award
(include link for more info)