Youth Complaint Form First & Last Name Phone Email Birthdate Ethnicity: –None–American Indian/Alaskan NativeArmenianAsianAsian IndianBlack/African AmericanCaribbeanCentral AmericanChoose not to IdentifyEuropeanHispanic/LatinoMiddle EasternMultiracialOther Racial GroupPacific IslanderPacific Islander/Native HawaiianSoutheast AsianWhite Gender: –None–MaleFemaleTransgenderNon-BinaryPrefer not to answer Where are you currently living? –None–Foster HomeGroup HomeSTRTPShelterOther Subject Tell us what you’re concerned about. What would you like to happen? Once you click “Submit” your form will be sent, you will be redirected to the Foster Youth Ombudsperson homepage, and someone will contact you within 1 business day.
