Alumni Survey

This form is to be used only by former students and parents/guardians, mentors, or case managers.

We are asking for information ONLY from classes that have completed their post-residential phase of Grizzly, beginning with Class 35.

The maximum number of times an individual can fill out this survey is once every six months.

Alumni Survey

- Step 1 of 7

Would you like to receive a $15 gift card for filling out this survey? *

If you choose yes, we will need to collect updated contact information so we can send you the gift card. Limited to one gift card per person once every six months.

Student Information

Who is reporting this information? *

What class did you attend Grizzly? *

Name *

First

Last

Date of Birth *//

Platoon *

Email *

Current Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Please enter in the best phone number to reach you at.

Education

High School status

Enrolled in high school
Dropped out of high school
Earned a high school diploma
Passed a high school equivalency test

I am currently enrolled in college courses.

I am currently enrolled in a career technical training program.

I have earned a career technical certificate.

I have earned a two-year college degree.

I have earned a four-year college degree.

Living and Work Status

Marital Status

Single, never married
Married
Separated
Divorced
Widowed

Residential Status

Living in own apartment or house
Living in a residential program (dormitory, etc.)
Living with parents or guardians
Living with extended family
Living with mentor or mentor's family
Living with friends
No permanent place of residence or homeless

Employment Status

Unemployed
Working part-time
Working full-time

Current hourly wage

Current hourly wage less than $10/hour
Current hourly wage between $10.01 and $15.00/hour
Current hourly wage greater than $15.01/hour

Are you involved in any volunteer activities?

Armed Forces Status

Denied entrance for military service
Currently serving on active duty
Currently serving in reserves or National Guard
I am not a member of the armed forces

Are you planning on reenlisting after your initial service?

Health

How would you describe your current body weight?

Under my normal body weight
At my normal body weight
Over my normal body weight

How would you describe your overall health?

Overall health excellent or good
Overall health fair or poor

Are you engaged in self-harming behavior?

Have you attempted suicide?

Have you received a diagnosis for a psychological problem?

Are you taking medication for a psychological problem?

Are you receiving services for a psychological problem?

Are you sexually active?

Describe your use of birth control:

Always uses birth control
Uses birth control sometimes or most of the time
Never uses birth control

Have you become a parent after leaving Grizzly?

Became a parent to 1 child since leaving the Grizzly program
Became a parent to more than 1 child since leaving the Grizzly program
Have not become a parent

Substance Use/Abuse

What is your current use of alcohol?

Consume alcohol daily
Consume alcohol only occasionally
Do not consume alcohol

What is your current use of marijuana?

Consume/smoke marijuana daily
Consume/smoke marijuana only occasionally
Do not consume/smoke marijuana

Do you participate in binge drinking? (5 or more drinks in a row)

Do you consume any drugs that are not prescribed for you?

Do you consume any other illegal substance?

Do you attend any type of support group? (AA, NA, Al-Anon)

Delinquency

Have you been suspended or expelled from school?

Have you been arrested for any reason?

Have you been convicted of a violent crime?

Have you been convicted of a property crime?

Have you been convicted of a drug crime?

Have you been convicted of a public order crime?

Have you been convicted of any other crime?

Have you been incarcerated for any reason?

Have you been or are you currently on probation?

Have you been the victim of a crime?

Phone

Alumni

Colleges/Careers
Request Transcript

Contact Info

Grizzly Youth Academy
721 Mendocino Ave
San Luis Obispo, CA 93405

Call: 1-800-926-0643
Email: admissions@mygya.com

Grizzly Youth Academy is about changing your life for the better. In my eyes, all my heroes work at Grizzly Youth Academy.Samantha Garcia

Grizzly Youth Academy was one of my biggest achievements. I recommend it to everyone that was in my situation.Gilberto Soltero

Grizzly has taught me how to plan for my future and how to reach my goals. Grizzly has also showed me how important school is and now I pay attention and get good grades.Jacob Jeffreys

My son is turning into a great man before my eyes and I'm very proud of him. I was skeptical about Grizzly at first but they did a great job.Frank Garcia

I honestly can’t put into words how amazing this place is. So, if you're considering going here DO IT because it’s a once in a lifetime opportunity that you won't regret.Kassandra Fox

I learned a lot about myself. I learned that with a team anything is possible.Antonio Avila

Grizzly Youth Academy is like a second family I never had. They taught me many positive things I can do in my life and inspired growth within myself as I learned and earned the title of Cadet.Elizabeth Luna

MAILING ADDRESS

Grizzly Youth Academy
721 Mendocino Ave.
San Luis Obispo, CA 93405

FOR INFORMATION

Call: 1-800-926-0643
Email: admissions@mygya.com
*If you are requesting a phone call from Grizzly Youth Academy please note that the incoming call will be displayed as a five-digit number.

POLICIES

School Board Policies
TItle IX