Foster Care Interest Form

Name *

First

*

Last

Address *

Street Address

Address Line 2

*

City

*

State

*

Postal Code

*

Home Number

Cell

Email

Family Information *

Please list the name, age, gender, and ethnicity of each person in your household

Church Involvement

Church Name

Pastor's Name

Ministry Involvement

How Long Have You Attended There?

Interest Questions

What kind of Foster Care are you interested in?

• Receiving Care
• Respite
• Short-Term Foster Care
• Long-Term Foster Care
• Foster-to-adopt

What ages are you interested in?

• 0-6
• 6-12
• Teens
• Sibling Groups

Would you consider taking a child that...

• Has medical needs
• Has emotional problems
• Has behavioral problems
• Is pregnant or parenting
• Has been removed from a meth lab

*

How did you hear about Tacoma YFC Foster Care?

• Friends
• Church
• Brochure
• Meth Foster Family Response Team
• Internet
• Other