**OCFNLP**

CALIFORNIA FRIDAY NIGHT LIVE PARTNERSHIP

CHAPTER PROFILE INFORMATION

Agency/School: Date Submitted: Chapter Demographics
Estimated Number of Active/Core Members: Females Males Total Ethnicity / Cultural Background of Active/Core Members: (Total should equal 100%) % African American / Black % Asian / Pacific Islander % Latin (-a / -o) / Hispanic % Middle Eastern % Multi-racial / -ethnic % Native American / Indigenous % White / European % Other (please specify)	Estimated percentage of Active/Core Members exposed to high-risk or under-served environments (i.e. below average academic performance, not involved in extra-curricular activities, has exhibited behavioral problems in school, appears disconnected from school, has negative self-valuation or low self-esteem, appears to have below average physical health, speaks English as a second language, member of low-income family): % of Total Active/Core Members What languages, in addition to or other than English, are spoken by the young people and their families in your chapter? (Check all that apply.) Spanish Chinese Hmong Vietnamese Other (please specify)
Does the chapter membership reflect the gender and ethnic /cultural composition of the broader school population? Yes, my chapter has the same racial and ethnic diversity of the broader school population. No, my chapter is more racially and ethnically diverse than the broader school population. No, my chapter is less racially and ethnically diverse than the broader school population.

Chapter Activities

chapter meetings ATODV education activities skill building trainings
youth-focused conferences community service projects alternative activities
recreational activities team building environmental prevention activities
FNL Mentoring 'model program' curriculum (please name):
other (please list):

How did your activities reflect the Standards of Practice?	Not at All	A Little Bit	Mostly	All the Time	Don't Know
Community Engagement					N/A
Leadership and Advocacy					N/A
Relationship Building					N/A
Safety					N/A
Skill Development					N/A

How often did chapter members participate in these activities? (Total should equal 100%) % Less than once a month % Once or twice a month % About once a week % More than once a week	What was average duration of chapter activities? (Total should equal 100%) % Less than 1 hour % Between 1 and 1 1/2 hours % Between 1 1/2 and 2 hours % More than 2 hours
Did this chapter partner with any other groups? Yes No If yes, please indicate which groups: other youth groups parents law enforcement community members other (please indicate)