Foster Parent Inquiry Form
Thank You for Your Interest in Becoming a Foster Family!Thank you for taking the time to complete our Foster Family Inquiry Form. We truly appreciate your interest in opening your heart and home to children and youth in need.A member of the Dynamic Works Program Support (DWPS) team will review your information and contact you soon to discuss the next steps, answer any questions you may have, and provide additional information about our Therapeutic Foster Care program.Please note that submitting this inquiry form does not obligate you to become a foster parent or guarantee approval. It simply begins the conversation so we can determine whether fostering with DWPS is the right fit for you and your family.We are grateful that you are considering making a difference in the life of a child. We look forward to connecting with you soon!
Back
Next
Applicant Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Preferred Method of Contact
Phone
Email
Text
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Housing Type
Please Select
House
Apartment
Town Home
Other
Do you rent or own
Please Select
Rent
Own
Number of Adults in the household (18+)
Number of Children currently living in the home?
Are there pets in the home
Please Select
Are you interested in?
Traditional Foster Care
Therapeutic Foster Care
Respite
Emergency Placement
Unsure/Would Like more information
What age range you may consider fostering:
0-2
3-5
6-12
13-17
Open
Are you open to sibling groups
Yes
No
Maybe/Unsure
Have you worked or volunteered with children or vulnerable populations?
Yes
No
If yes, Please describe:
When are you hoping to begin the foster care process?
Immediately
Within 3 months
Within 6 months
Just exploring
Have you ever been licensed as a foster parent before?
Yes
No
If yes, with what agency
Please provide us with any additional information you may have or any questions you may have for us:
I understand that submitting this inquiry form does not guarantee placement or licensure and is for informational and contact purposes only.
Yes
By signing your full name below, I certify that the information provided in this inquiryl is true and accurate to the best of my knowledge.
Continue
Continue
Should be Empty: