CURRENT ADDRESS

Current Address

City

State

Zip

County

If your county is not shown, visit www.iowafosterandadoption.org/start-the-process/

What is your school district?

What elementary school do children in your area go to?

What is your preferred method of contact?

Phone

Do you prefer paperwork and communication in a language other than English?

Do you have access to a printer?

Yes

Your Home

What best describes the race/ethnicity of the applicant/s?

What is the relationship status of the applicant/s?

How many adults (age 18 years or older) live in your home?

How many children live in your home?

How many children are 14 years or older?

If any of the adults (including applicants) or children age 14 and older resided in another state during the past 5 years, please list all states other than Iowa:

Do you speak a language other than English? If yes, please specify which language(s) (including American Sign Language).

INTEREST LEVEL AND ABILITY

I am a relative with a child who is a family member currently living in my home or will soon have a child who is a family member in my home.

How are you interested in helping Iowa's children?

What ages of children do you believe you may be willing to care for? Check all that apply.

Ages 0-5

Ages 6-12

Ages 13-18

What generated your interest in foster care or adoption?

What is your interest level?

"Not sure" to "very interested"

Are you expecting any major life changes in the next several months (i.e. pregnancy, private adoption, marriage, divorce, separation, extended vacation, relocation, home renovation, etc.)?

Will a commitment to training be a problem for you and/or a significant other/spouse?

These trainings do not provide child care and are for adults only.

The process to become a foster and/or adoptive family can take up to 6 months or more. The training you are required to take is 3 hours per week (usually in the evenings) for 10 consecutive weeks.

Foster care maintenance payments only cover a portion of the cost needed to provide foster care to one of Iowa's children. Will you be able to handle the financial responsibilities of fostering a child?

What motivated you to inquire today?

Start The Process

APPLICANT 1

APPLICANT 2

CURRENT ADDRESS

MAILING ADDRESS

Your Home

INTEREST LEVEL AND ABILITY