Official Nebraska Government Website
Official Nebraska Government Website
Nebraska Foster Care Review Office

 

Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

 

Young Adult Questionnaire – Bridge to Independence Program (Age 19 – 20)

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Thank you for responding to this questionnaire. Your input provides valuable insight on how the Bridge to Independence program is working, and suggestions on what needs improved. Your input also tells us how you are benefiting from the program. We collect data and provide a report to the Legislature (no names of young adults are used). We also by law provide a brief report to the court. You and your Independence Coordinator will receive a copy of the report.

   
   
   
   
       
   

Driver's License
Learner's Permit
State I.D.
Social Security Card
Birth Certificate

Credit Report
Health Records (Such as immunization records and contact information for physician’s I have seen)
Educational Records (Such as school transcripts)
Information on how to designate someone to make heath care decisions for me if needed.

Medicaid
Insurance Through Work
Insurance Through School
Insurance Through Parent

Own Vehicle
Saving for a vehicle
Not planning to purchase a vehicle
Use the bus or walk

Completed Opportunity Passport Classes
Currently taking Opportunity Passport Classes
On wait list for Opportunity Passport Classes
Opportunity Passport is not available in my area of the State
Not interested

Foster Care
Guardianship
Adopted
Independent Living

High School:

High School diploma
Currently in High School
Received G.E.D.
Currently taking G.E.D. Classes
Do not have high school diploma and not working on G.E.D. at this time
Transitional educational program for 19-21 year olds


College:

Enrolled in College
Formerly Enrolled in College and Graduated
Formerly Enrolled in College - did not complete


Trade School:

In a Trade School
Formerly in Trade School


Job Corps:

Currently in Job Corps
Formerly in Job Corps and Graduated
Formerly in Job Corps but did not complete
   

Renting my own place
Living with friends / Couch Surfing
Homeless
Living with Parent
Living with Relative
Living with Former Foster Family
Group Home
Other (Specify)

Employed Part-Time
Employed Full-Time
Not Employed but Seeking a Job
Not Employed and Not Seeking a Job

How to find a job
How to keep a job
How to enroll in college or job training program
How to succeed in college or job training program
How to find an apartment
How to clean an apartment
How to budget money
How to save money
How to plan and shop for food
How to do laundry
How to get a driver's license
How to buy a car
How to maintain a car
How to take care of my health needs
How to take care of any mental health needs

Biological Mom
Biological Dad
Siblings
Other biological family members
Foster Mom
Foster Dad
Foster Siblings
Others you consider important to you
   
       
       
   
       
       
   

Although not required, if you would like to submit any additional related documents you may do so below:

Total file size for all files cannot exceed 17MB.


By the return of this document online you attest that the information is true and accurate. If you have questions or need assistance, please contact the FCRO main office at 402-471-4420, and ask to speak to our Bridge to Independence –Review Specialist.

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