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1. Full Name (Parent 1)

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2. Full Name (Parent 2 - If Applicable)

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4. Phone Number

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5. Home Address

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6. How did you hear about Community Access Network

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7. What has motivated you to consider becoming a resource parent?

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8. What are the primary reasons you are interested in fostering? (Select all that apply)

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9. Have you previously been a resource parent?

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10. If yes, please share your previous experiences with foster care?

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11. Are you interested in fostering a specific age group?

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12. What types of support would you need to become a resource parent? (Select all that apply)

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13. Do you have any concerns or reservations about becoming a resource parent?

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14. Is there anything else you would like us to know about your interest in fostering?

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15. When is the best time for us to reach you?

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