Name
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First Name
Last Name
Email
*
Phone
*
(###)
###
####
City
*
County
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Marital Status
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Married
Widowed
Divorced
Single
Are you interested in
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What ages are you interested in for foster/adoption?
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Do you have children of your own?
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If so, do they still live with you?
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How many people live in your home, including yourself? Please list all names, age and relationships.
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Have you had any major life changes and/or challenges in the past year?
Examples: divorce, move, marriage, new baby, etc.
Do you consider yourself financially stable?
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What is your household income?
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Less than $49,999
$50,000 – $74,999
$75,000 – $99,999
$100,000 – $149,999
$150,000 +
Do you have adequate space* that is required to become a Foster Parent?
*
*A bedroom must have at least 40 square feet of space for each occupant and no more than four occupants per bedroom are permitted, even if the square footage of the room would accommodate more than four occupant. Single occupant bedrooms must have at least 80 square feet of floor space.
How many bedrooms do you have in your home?
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Are you willing to receive a background check, including fingerprinting for anyone over the age of 14 that live in the house?
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Are you willing to receive required trainings and tests to meet the qualifications as a Foster Parent?
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Do you understand that there will be no physical discipline permitted as a foster parent to the foster child at any time?
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Are you motivated to be a positive role model, mentor, and parent in a child’s life?
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What made you decide to take part on this journey?
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How did you hear about Anchor Family Services?
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Would you be able to attend Saturday and Sunday trainings?
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Did you read the FAQ section on our website?
*
What are good days and times to contact you? Select all that apply.
*
Thank you for submitting your application! We will be reaching out to you within the next 3 business days. In the meantime, here are some free resources we can give you with more information on the Foster Care system, Anchor Family Services and more.
