Montana is proud to have completed over three decades of participation in the Youth Risk Behavior Survey (YRBS). These results are valuable to educators, school boards, and communities, including parents and students, in understanding the health risks of Montana students, enabling districts to design local health and physical education curriculum to address local needs. In addition, these results drive state collaboration as well as program and policy decisions. The Montana Office of Public Instruction uses these results to establish benchmarks for reducing adolescent risk behaviors and increasing pro-social behaviors, designing state priorities for health programs, and evaluating the effectiveness of many health-related programs across the health and education systems. During the spring of the 2020-2021 school year, when schools faced many challenges, 98% of all school districts, and 22,576 students in grades 7 through 12 completed the survey. The 2021 YRBS results are the students' story and a "snapshot in time" of their experiences. This American Indian Students Report contains frequency distributions, point of interest (POI) graphs, and trend charts. [A list of the Survey's co-sponsors can be found on page 70 of the PDF. Cover title varies: "2021 Montana Youth Risk Behavior Survey -- American Indian Student Report."]