Foster Care Application Form
APPLICANT # 1
Main contact with the agency
Legal Name
First Name
Middle Name
Last Name
Preferred Name (if applicable)
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Home Phone
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
APPLICANT # 2
For couples applying together
Legal Name
First Name
Middle Name
Last Name
Preferred Name (if applicable)
Applicant # 2
E Mail
example@example.com
Cell Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
CHILDREN (if applicable):
Please provide information regarding your children. Please add each additional one using the "+" button.
ADULTS LIVING IN THE HOME (if applicable):
Please provide information regarding any additional adults living in the applicant/s home, add additional ones using the "+" button.
MARRIAGE OR DOMESTIC PARTNERSHIP (if applicable):
Please provide information regarding your current marriage or domestic partnership.
Please provide information regarding your current marriage or domestic partnership, add each one using the "+" button.
PREVIOUS APPLICATIONS:
Please let us know about any previous applications you may have completed in ANY jurisdiction (both inside and outside of Canada)
Rows
YES
NO
Have you previously applied for foster/kin/adoption/customary care, either an an individual, a couple or in a previous relationship?
Have you previously began or completed a foster/kin/adoption/customary care education program?
Have you previously began or completed a foster/kin/adoption/customary care homestudy assessment?
Have you previously applied to foster/adopt/provide kin or customary care for a child?
PREVIOUS CHILD WELFARE INVOLVEMENT
Please let us know about any previous involvement you have had with a Children's Aid Society of any child protection authority outside of Ontario.
Rows
YES
NO
Have you previously been involved with a Children's Aid Society or any child protection authority outside of Ontario?
If you answered YES, and have had previous involvement, please specify and describe the involvement.
Please describe.
CARE INTERESTS
What type of care are you interested in providing (check all that apply)?
Foster Care
Respite Care
Adoption
What age or age range of child/ren do you wish to provide care for?
What gender of child/ren are you interested in caring for (check all that apply)?
Female
Male
Transgender Female
Transgender Male
What race/ethnic origin are you interested in caring for?
Any/Not considered
Other
Would you consider caring for a sibling group?
Yes
No
Unsure
Please select
Would you be willing to provide care to medically fragile children or children with physically disabilities?
Yes
No
Unsure
Please select
Submit
Should be Empty: