Foster Care Application

A New Leaf Foster Care Application

Our goal is to ensure that foster parents feel welcomed and supported at A New Leaf’s Foster Care Program. Diversity, equity, inclusion, and justice are crucial elements for reaching our full potential and building a stronger community.
What type of care are you looking to provide?*

Family Foster Home (FFH)Adoption OnlyTherapeutic Foster Care (TFC)KinshipRespiteUnsure/need more information
A New Leaf is no longer contracted for Kinship Foster Care. Please reach out to DCS for an appropriate referral. If you are not receiving a response from your assigned DCS Case Manager, please email LEAH.REACH@AZDCS.GOV Our apologies for this inconvenience!

ADDRESS HISTORY / BACKGROUND CHECKS
PARENT A- How long have you lived in Arizona?*

Less than 5 YEARSMore than 5 YEARS
PARENT A- Please list which state(s) you have lived in within the last FIVE years below:*
PARENT B- How long have you lived in Arizona?*

Less than 5 YEARSMore than 5 YEARS
PARENT B- Please list which state(s) you have lived in within the last FIVE years below:*

PARENT A- Work Schedule*

PARENT B- Work Schedule*

LICENSING HISTORY
Have you ever been licensed for foster care?*

YesNo
Are you currently licensed?

Yes- looking to transferNo
If comfortable, please state the agency previously licensed/currently licensed with:*

What would you say best describes your overall interest/motivation?*

Fostering with hopes of children reunifyingFostering with hopes of adoptingAdoption only- no interest in fostering childrenFostering and might be open to adoption if the right situation
Do you have any questions, comments, or concerns that you would like to share? *
How did you hear about us?*
If you selected friend, please share their name:*
If you heard about us from social media, which website?*

Would you like to schedule a...*

Virtual intake interviewIn person interview (1655 E University Dr. #101 Mesa, AZ 85203)Not ready to schedule an intake at this timeUnsure

Take a moment to review your answers before submitting!

A member of our team will reach out to you soon for an intake interview, to review this questionnaire, and to go over the next steps.
Any questions: please email fostercareadoption@turnanewleaf.org or call our Program Manager at 480-825-6564.
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A New Leaf Foster Care Application