In order to share the Connections Screener Google form that you can adapt, Kim has created a form for each school. After the synchronous meeting where this is discussed, she will add your name to the form with your school's name. Once you get that form, make a copy (you may also rename it) and put into your Google drive. This will ensure that we do not see your actual screener responses and ensure confidentiality. 

To maintain the integrity of the original screener, we recommend that you keep the existing language, in particular the language we have provided below.

Student Screener

Please list the name(s) of one or more adult(s) and peer(s) in this building with whom you feel you have a good connection. These should be people you can trust, you know care about you, and you feel you can talk to if you have a problem. Adult Connections I have a good connection with the following adult(s) at my High School.


Adult Screener

Student Connections Please list the names of up to 6 students in this building with whom you feel you have a good, personal connection. These could be students who seek your advice/guidance for personal or academic matters. (Teachers: they may not necessarily be current students in your classes.)


When you are finished return to course homepage or move to the next section.

Last modified: Saturday, July 13, 2024, 12:28 PM