C.A.R.A.S.

Become a Foster Parent

Areas of Interest: (Please check all those that apply) Foster Parent Adoption

Personal Information For Applicant #1 First Name: Middle Initial: Last Name:
Address:
City:
State: Zip:
Home Telephone: Work Telephone: Cell Phone: Fax: E-mail:

Personal Information For Applicant #2 First name:    Middle Initial:      Last Name:
Address:
City:
State:    Zip:
Home Telephone: Work Telephone: Cell Phone: Fax:    E-mail:

Gender Please let us know what age group and gender you are considering to adopt or have as a foster child. (Please mark one response for each age group)

0-5 years old
Girls Boys No Preference None

5-10 years old
Girls Boys No Preference None

10-12 years old
Girls Boys No Preference None

13-18 years old
Girls Boys No Preference None

Special Needs There is a particular need for foster homes for children with special challenges. Please let us know whether you would consider fostering a child with any of the following needs. (Please check all that may apply)

Physical HIV Positive Emotional Behavioral Learning

Medical Needs Exposure to Substance Abuse Developmental

No Preference

Race, Nationality, and Ethnicity Are you willing to parent a child of any race, nationality, and ethnicity? (Please mark one response)

Yes No Don't Know Yet

If not, what race, nationality, and ethnicity child are you willing to parent? (Please mark all that may apply)

African-American Pacific Islander Hispanic/Latino

Interracial Native American/Alaskan White Asian

Trainings Foster Parent Trainings are done in Spanish. What time of day will be most convenient for you? (Please mark your preference)

Evenings after 5 pm Saturdays (9:30 am-3:30 pm)

If given the opportunity, would you prefer to have trainings in English or Spanish?

Comments

Thanking you in advance for your time and cooperation.

Copyright © Kean University - C.A.R.A.S. Child Advocacy Resource Association
Social Work Department ~ 1000 Morris Ave. Union, NJ 07083 ~ Tel.: (908) 737-5880 ~ Fax: (908) 737-5885 ~ E-mail: caras@kean.edu ~ Website: www.kean.edu/~caras