Foster Parent Request Form - Quincy, MA - The Forgotten Initiative

Your Name (Foster Parent)*

First Last

Your Phone Number*

Your Email Address*

Delivery Address*

We respect your privacy and would never share your name or location except for delivery purposes.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Do you have a church you attend regularly?*

Please note, regardless of church affiliation we are here to serve you!

Yes
Not at this time

What church do you attend?*

Select Your Agency*

Your Worker's Name*

First Last

Your Worker's Email Address*

After completion of this form, a copy of the form will be emailed to your worker to keep them in the loop!

Your Worker's Phone Number*

How long have you been a foster parent?*

Please mark the 12Tangibles that you are currently in need of:*

Journey Bags - Diaper bags, backpacks, or duffel bags with personal & comfort items for children in foster care to call their own
Back to School Packs - Backpacks filled school supplies to help children succeed in school
Diapers/Wipes/Formula - Basic infant care items needed commonly during transition times
Foster Parent Support Kits - Date night gift cards, coffee, candies and paperwork organization help to bring encouragement to new or overwhelmed foster parents
First Aid Kits - Basic medical supplies to help foster parents care for or welcome in children
Home Safety & Cleaning Kits - Safety & cleaning supplies to help foster parents care for or welcome in children
Car Kits - Portable activities, games and other items to brighten up the time children spend in the car driving to & from visits & appointments
Nothing needed at this time

Please indicate the amount/ages/sizes/gender of the 12 Tangibles that you marked as needed.*

Do you have a need of clothing from the Foster Care Closet?*

Yes, I do.
Not at this time.

Please tell us what clothing needs you have. Please, also include each child's gender, clothing size(s) and shoe size.*

Do you currently have needs that can be met through our First Response program?*

First Response helps provide immediate needs you may have (mattress & bed, dresser, sheets, blanket, car seat, clothing)

Yes, I do.
Not at this time

What is your desired deadline for the First Response need to be met?*

48 Hours
4 Days
1 Week
2 Weeks

Description of Need*

Please select the item(s) you need.

Please include details regarding your need choice(s). (For example: if you requested a twin bed but need 2, indicate that below and/or let us know age, gender, any color request for sheets. We want to make your child feel special!)

Hidden

Do you currently have a foster child(ren) in your home in need of a mentor?

Yes, I do.
Not at this time.

Child's Age

Child's Gender

Does this child desire a mentor?

Yes
No

Would this child's needs be able to be met by a non-professional volunteer?

Yes
No

Describe what type of mentor you are requesting (i.e. age, race, male or female)

Describe days, times, and details of the mentor request. (How often, specific days needed, how long, etc.)

List types of activities you would like the mentor to do with the child (i.e. learn new skill, tutoring, just spending time together, etc.)

Any other information you would like to share with a potential mentor?

Hidden

Do you desire a Support Team through "Families Serving Families"?

The Forgotten Initiative connects local church small groups to foster families through Families Serving Families to provide practical service and relationship support.

Yes, I do.
Not at this time

What kind of support do you need?

Your Support Team will be background checked and finger printed when needed.

Please add any additional information you would like to share regarding the support you need through Families Serving Families?

Foster Parent Request Form - Quincy, MA

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