Please select your age
Are you currently in Foster Care?
Are you in your third trimester of pregnancy (about 7 months)?
Have you ever been in trouble for sexual harassment, sexual assault, molestation, inappropriately touching someone, or public sexual behavior?
Have you ever had any involvment with another Comprehensive Youth Services Program?
This would include, Family Youth Interventions: Basic Center or Rapid ReHousing, The Harbor, Wings of The Harbor, Cypress Place (located in Port Huron), Clinton Counseling Center, or the Jail Program. If yes, please name the program.