THRIVE Treatment Services - Prospective Foster Care Provider

First Name:

Last name:

Which of the following apply to you:

One year experience as treatment foster parent (Foster child placement for at least 1 year)
Minimum of 5 years of experience working with or parenting children
Minimum of 500 hours of experience as a respite provider
High school diploma or equivalent
Substantial relationship with the child to be placed
Degree in field related to child’s needs (Social Work, Psychology, Nursing, Education, etc.)
Work experience with children with special needs

Email:

Phone:

Address:

City:

State:

Zipcode:

Marital Status:

Type of child desired:

How many children?

Age range?

How did you find out about us?

Prospective Foster Care Provider