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*---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Contact Phone #* Email Address* Referral Source (How did you hear about us?)* Would you like the paperwork mailed via the US Postal Service or e-mailed? (If e-mailed, you'll need a printer)* Regular MailEmail Do you have a licensed or registered daycare in your home?* YesNo Are all applicants aged 21 or older?* YesNo Notes / Comments By submitting this inquiry, I authorize TFI Family Services, 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.