STAR Youth Application Form
Thank you for your interest in STAR (Supported, Thriving, Authentic & Resilient) Youth,
The STAR youth program works to bring youth currently or previously in foster care together with a focus on Social Emotional Learning (SEL), through affirming activities that help them create a positive sense of self and their identity, and create a peer network with other youth with shared life experiences.
The STAR youth program is grounded in the belief that youth who have experienced foster care deserve a safe, inclusive, affirming, and youth-friendly place where they can build healthy relationships and be supported in positive identity development. Research shows that youth that forge friendships and other relationships with positive features report having greater involvement in school and higher self-perceived social acceptance. These are protective factors our program works to reinforce:
establish physical and psychological safety;
establish appropriate structures that promote healthy bonding;
support youth in cultivating supportive intimate (non-romantic) relationships;
create opportunities for belonging; promote positive social norms;
support self-efficacy/empowerment/age-appropriate autonomy; and
create opportunities for skill building.
STAR Youth Summer Application Form
Lunch will be served daily. STAR is completely free for qualifying youth.
King County:
9:00am - 2:00pm, Monday-Friday
5907 Martin Luther King Jr. Way S, 98118
North Star (Week 1) will cover general social-emotional learning topics like emotional regulation and coping with stress.
Constellation (Week 2) will focus on family separation-specific subject matter, including telling your story (or choosing not to) and honoring important milestones.
Youth are welcome to join us for both weeks or just one.
*Update: as of July 3, all sessions are full except for July 17-21 and August 21-25
Pierce County:
9:00am - 2:00pm, Monday, August 21st - Friday, August 25th
3501 104th St E, Tacoma, 98446
Monday, August 21st - We get to know each other and participate in team-building activities
Tuesday, August 22nd - We talk about the importance of communication
Wednesday, August 23rd - We discuss the ripple effects of acting with kindness
Thursday, August 24th - We explore listening skills
Friday, August 25th - We identify stressors and strategies to cope with them
Please indicate which session(s) you are planning to attend by checking the box below.
King County Sessions
Constellation (week 2): July 17th - July 21st
Pierce County Sessions
Monday, August 21st - Friday, August 25th
Before and After Care
Please check here if your youth will need to be dropped off earlier than 9am or picked up later than 2pm
Basic Information & Demographics
Youth First Name
*
Youth Last Name
*
Preferred First Name (if different from legal)
Pronouns
She/Her
He/Him
They/Them
Other (list below)
if other, list here:
Gender
Female
Male
Genderfluid
Transgender Female
Agender
Child Gender
Gender non-conforming
Non-Binary
Non-Binary (legally female)
Other
Transgender Male
Transmasculine
Two-spirit
If Other, list here
Birth Date
Race/Ethnicity
Arab, Iranian or Middle Eastern
Asian
Black/African American
Hispanic or Latino
Multi-Racial
Native American or Alaska Native
Other
Pacific Islander or Native Hawaiian
Unknown
White
if other, list here
Tribal affiliation, if applicable
What language(s) do you speak at home?
Is this youth
Formerly in care; adopted
Formerly in care; reunified
In a guardianship
In foster care
Information for Amara Staff
If you are able, please tell us more information about the youth attending camp to help our staff with planning. If you prefer, you can leave these fields blank and we will follow up at a later date.
Description of Youth’s Strengths:
Description of Youth’s Interests:
Description of “What Works” (i.e., routine, fidget toys, incentives, etc.) to support your youth to regulate emotions and feel safe
Description of “What Doesn’t Work” (i.e., timed tasks, transitions, etc.) to support your youth to regulate emotions and feel safe
Are there any triggers for this youth that staff/volunteers should be aware of?
What might it look like for this youth when they are feeling triggered or dysregulated? What are some things that help when they are feeling this way?
What do you hope that your youth will get out of the STAR Program experience?
Any other information you would like our staff to know:
Does your youth have any dietary restrictions?
Does your youth have any medical needs that might affect participation in our programming? If yes, please let us know how we can support them in order to be successful, safe and comfortable in our program.
Does your youth have a disability or learning needs that you would like us to know about? If yes, please let us know how we can support them in order to be successful, safe and comfortable in our program.
Parent/Caregiver
Caregiver name
*
Caregiver phone
Enter International
Caregiver Email
*
Zip code (where youth lives currently)
What is your relationship to this youth?
Preferred method of communication (check all that apply)
Email
In-Person
Phone
Ok to leave a message?
Primary language
How did you hear about STAR?
Total # of adults in household
Total # of youth in household
Acknowledgement and Waiver
Submission of this form does not guarantee enrollment in the program. Amara staff will contact you to confirm your enrollment as soon as possible
I affirm that I have the authority to enroll the above-named youth in the STAR Youth program
*
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