Foster Parent Inquiry Form

Today's Date

Month

Day

Year

First name

Last name

Date of Birth

Month

Day

Year

Phone

More than one applicant

Address

Place of Employment

Number of Hours Per Week

How Many Others Live in the Home?

Relationship to Applicant

Are you currently, or have you ever been licensed or applied to be licensed as a foster care provider?

Yes

Were you referred to Family Alternatives by specific individual?

Yes

Minnesota Rules require that you have the equivalent of 2 years of full-time experience caring for or working with the issues presented by the child(ren) you will care for. Describe your experience, skills and/or education related to foster parenting.

Family Alternatives values working cooperatively with the families of our children/youth in foster care when possible. What are your feelings about this expectation?

Describe how you'll support a child’s developing identity, sense of belonging or membership in a cultural group- including race, ethnicity, culture, faith/spirituality, sexual orientation, gender identity, socio-economic factors, traditions, or practices.