Foster Care Inquiry

Complete this secure form

    Fields with * are mandatory

    Applicant #1 Legal First Name*

    Applicant #1 Legal Last Name*

    Applicant #1 Also Known As or Alias

    Applicant #2 Legal First Name

    Applicant #2 Legal Last Name

    Applicant #2 Also Known As or Alias

    Applicant #1 Gender*FemaleMale

    Applicant #2 GenderFemaleMale

    Applicant #1 Status SingleMarried/Partner

    Street Address*

    Address Line 2

    City*

    State*

    Zip Code*

    Contact Phone #*

    Email Address*

    Referral Source (How did you hear about us?)*

    Which option best describes your interest in our Foster Care program?*
    I only want information at this time.I only want information at this time, but please follow up with me in 30 days.I only want information at this time, but please follow up with me in 60 days.I only want information at this time, but please follow up with me in 90 days.I am ready to apply.

    How would you like to complete the paperwork?*

    Are you currently licensed/certified/verified?*
    YesNo

    If yes, please identify your current agency.

    Have you been previously licensed and/or trained?*
    YesNo

    If yes, please identify your previous agency.

    Do you have a licensed or registered daycare in your home?*
    YesNo

    Do you plan on licensing only for a specific child?*
    YesNo

    Relation to specific child:

    Are all applicants aged 21 or older?*
    YesNo

    How many bedrooms do you have in your home?*

    By submitting this inquiry, I authorize TFI, LLC. to investigate all statements contained in this inquiry as may be necessary to arrive at a licensing eligibility determination, and to conduct initial background checks as are relevant to my interest to become a Care Provider (foster parent) with TFI's foster care program. I understand additional information will need to be provided to TFI following this submission, including names of references.