Resource Parent Interest Form

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* 1. Full Name (Parent 1)

First name

Last name

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* 2. Full Name (Parent 2 - If Applicable)

First name

Last name

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* 3. Email Address

Email address

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* 4. Phone Number

Country Code

Phone number

Ext.

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* 5. Home Address

Street address

City

State

Country

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* 6. How did you hear about Community Access Network

Friend

Family Member

Website

Community Event

Social Media (Instagram, Facebook, etc.)

Other (please specify)

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* 7. What has motivated you to consider becoming a resource parent?

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* 8. What are the primary reasons you are interested in fostering? (Select all that apply)

Desire to help children in need

Personal experience with foster care

Interest in adoption

Desire to expand family

Desire to support reunification

Other (please specify)

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* 9. Have you previously been a resource parent?

Yes

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* 10. If yes, please share your previous experiences with foster care?

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* 11. Are you interested in fostering a specific age group?

Infants (0-2 years)

Toddlers (2-5 years)

Children (5-12 years)

Teenagers (13-18 years)

No preference

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* 12. What types of support would you need to become a resource parent? (Select all that apply)

Financial support

Training and education

Emotional support

Respite care

Mentorship

Other

Resource Parent Interest Form

Question Title

* 1. Full Name (Parent 1)

Question Title

* 2. Full Name (Parent 2 - If Applicable)

Question Title

* 3. Email Address

Question Title

* 4. Phone Number

Question Title

* 5. Home Address

Question Title

* 6. How did you hear about Community Access Network

Question Title

* 7. What has motivated you to consider becoming a resource parent?

Question Title

* 8. What are the primary reasons you are interested in fostering? (Select all that apply)

Question Title

* 9. Have you previously been a resource parent?

Question Title

* 10. If yes, please share your previous experiences with foster care?

Question Title

* 11. Are you interested in fostering a specific age group?

Question Title

* 12. What types of support would you need to become a resource parent? (Select all that apply)

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* 13. Do you have any concerns or reservations about becoming a resource parent?

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* 14. Is there anything else you would like us to know about your interest in fostering?