One Tribe Foster Parent Inquiry Interest Form

One Tribe Foster Parent Inquiry Interest Form

Complete this form using the extracted questions and input structure from the source document. All fields are optional unless marked required in the original.
Applicant Name

First NameLast Name
Applicant & Household Information
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Number of Adults in Household
Number of Children in Household
Number of Bedrooms
Number of Bathrooms
Housing Status

Other
Type of Residence

Other
Household Members

Other
County of Residence
Date of Birth

MonthDayYear
Date
Preferred Contact Method
Foster Care Interest & Background
Have you previously provided foster care or kinship care?
Are you currently licensed or approved to provide foster care?
What motivates you to become a foster parent?
Please describe any prior experience caring for children in your home.
Do you have any experience working with children who have experienced trauma?
What age groups are you interested in fostering?

Other
Which types of placement are you open to?

Other
What special needs or behaviors are you prepared to support?

Other
Which children would you prefer to foster?
How many children can your household currently accommodate?
Are all adults in the household supportive of fostering?
Is your home ready to welcome a child now?
Please describe your household’s readiness to foster.
Do you have space available for a foster child?
Do you have a separate bedroom available for a foster child?
Are you open to transporting children to appointments or activities?
Which support services are you interested in?

Other
Please share any background information you think is important for us to know.
Have you ever had a child welfare or foster care case in your household?
If yes, please explain.
Household, References, and Consent
Household Members
Reference 1 Name (relative)

First NameMiddle NameLast Name
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name (relative)

First NameMiddle NameLast Name
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Name (non-relative)

First NameMiddle NameLast Name
Reference 3 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 4 Name (non-relative)

First NameMiddle NameLast Name
Reference 4 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 5 Name (non-relative)

First NameMiddle NameLast Name
Reference 5 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please share any additional information about your household or references
Acknowledgments
Do you consent to a background check for all adult household members?
Do you consent to One Tribe contacting your references?
Please explain any concerns or special circumstances we should know about
Date Signed

MonthDayYear
Date
Signature of Applicant

First NameMiddle NameLast Name
Electronic Signature
Final Confirmation
Should be Empty:

One Tribe Foster Parent Inquiry Interest Form

Applicant & Household Information

Foster Care Interest & Background

Household, References, and Consent