Becoming a Foster/Adoptive Family

Adoption & Treatment Foster Care

If you are interested in being an adoptive or treatment foster care parent please complete
the form below.  A UMFS social worker will contact you and answer any questions you may have.

Fields with a * required.
Your Name:
* First Name: * Last Name:

Co-parent Name:
First Name: Last Name:
Are you most interested in foster care, adoption or both?
Are you currently a foster parent?
* Address:
Address 2:
* City:
* State/Province/Region:
* Zip Code:
* Home Phone Number:
   (include area code)
Cell Phone Number:
(include area code)
* Email:

* What age range(s) are you willing to care for?

      0-2 (Infant)
      3-5 (Preschool)
      6-8 (School Age)
      9-13 (Latency)
      14-18 (Adolescent)
      No Preference
Do you prefer to care for a male or female child/teenager?

      Male       Female       No Preference

Are you willing to care for sibling groups?
Are you willing to care for special medical needs?
Languages spoken in your home:

      English       Spanish       Other

If you select “Other,” please enter the other languages in the box below:
* How did you hear about us?
Brochure Flyer/Posters Television Faith-Based Organization
Radio    UMFS Website Internet Search Article
Craigslist Word-of-Mouth   Presentation Current/Former Foster Parent
Event Social Media   Print Ad Other

If you select “Other,” please enter the other languages in the box below:

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