Who is completing this form?(Required) A person interested in foster care or adoption. TFI Staff Which TFI Staff is completing this form? Name(Required) First Middle Last Please list any previous or alternative names (maiden name, previous married names, abbreviated names, nicknames, birth names, etc). Email(Required) Phone(Required)Which state do you live in?(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingTFI proudly serves youth and families in Kansas, Nebraska, Oklahoma and Texas. Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which county do you live in?(Required)ANDERSONANDREWSANGELINAARANSASARCHERARMSTRONGATASCOSAAUSTINBAILEYBANDERABASTROPBAYLORBEEBELLBEXARBLANCOBORDENBOSQUEBOWIEBRAZORIABRAZOSBREWSTERBRISCOEBROOKSBROWNBURLESONBURNETCALDWELLCALHOUNCALLAHANCAMERONCAMPCARSONCASSCASTROCHAMBERSCHEROKEECHILDRESSCLAYCOCHRANCOKECOLEMANCOLLINCOLLINGSWORTHCOLORADOCOMALCOMANCHECONCHOCOOKECORYELLCOTTLECRANECROCKETTCROSBYCULBERSONDALLAMDALLASDAWSONDEAF SMITHDELTADENTONDEWITTDICKENSDIMMITDONLEYDUVALEASTLANDECTOREDWARDSELLISEL PASOERATHFALLSFANNINFAYETTEFISHERFLOYDFOARDFORT BENDFRANKLINFREESTONEFRIOGAINESGALVESTONGARZAGILLESPIEGLASSCOCKGOLIADGONZALESGRAYGRAYSONGREGGGRIMESGUADALUPEHALEHALLHAMILTONHANSFORDHARDEMANHARDINHARRISHARRISONHARTLEYHASKELLHAYSHEMPHILLHENDERSONHIDALGOHILLHOCKLEYHOODHOPKINSHOUSTONHOWARDHUDSPETHHUNTHUTCHINSONIRIONJACKJACKSONJASPERJEFF DAVISJEFFERSONJIM HOGGJIM WELLSJOHNSONJONESKARNESKAUFMANKENDALLKENEDYKENTKERRKIMBLEKINGKINNEYKLEBERGKNOXLAMARLAMBLAMPASASLA SALLELAVACALEELEONLIBERTYLIMESTONELIPSCOMBLIVE OAKLLANOLOVINGLUBBOCKLYNNMCCULLOCHMCLENNANMCMULLENMADISONMARIONMARTINMASONMATAGORDAMAVERICKMEDINAMENARDMIDLANDMILAMMILLSMITCHELLMONTAGUEMONTGOMERYMOOREMORRISMOTLEYNACOGDOCHESNAVARRONEWTONNOLANNUECESOCHILTREEOLDHAMORANGEPALO PINTOPANOLAPARKERPARMERPECOSPOLKPOTTERPRESIDIORAINSRANDALLREAGANREALRED RIVERREEVESREFUGIOROBERTSROBERTSONROCKWALLRUNNELSRUSKSABINESAN AUGUSTINESAN JACINTOSAN PATRICIOSAN SABASCHLEICHERSCURRYSHACKELFORDSHELBYSHERMANSMITHSOMERVELLSTARRSTEPHENSSTERLINGSTONEWALLSUTTONSWISHERTARRANTTAYLORTERRELLTERRYTHROCKMORTONTITUSTOM GREENTRAVISTRINITYTYLERUPSHURUPTONUVALDEVAL VERDEVAN ZANDTVICTORIAWALKERWALLERWARDWASHINGTONWEBBWHARTONWHEELERWICHITAWILBARGERWILLACYWILLIAMSONWILSONWINKLERWISEWOODYOAKUMYOUNGZAPATAZAVALAWhich county do you live in?(Required)AllenAndersonAtchisonBarberBartonBourbonBrownButlerChaseChautauquaCherokeeCheyenneClarkClayCloudCoffeyComancheCowleyCrawfordDecaturDickinsonDoniphanDouglasEdwardsElkEllisEllsworthFinneyFordFranklinGearyGoveGrahamGrantGrayGreeleyGreenwoodHamiltonHarperHarveyHaskellHodgemanJacksonJeffersonJewellJohnsonKearnyKingmanKiowaLabetteLaneLeavenworthLincolnLinnLoganLyonMarionMarshallMcPhersonMeadeMiamiMitchellMontgomeryMorrisMortonNemahaNeoshoNessNortonOsageOsborneOttawaPawneePhillipsPottawatomiePrattRawlinsRenoRepublicRiceRileyRooksRushRussellSalineScottSedgwickSewardShawneeSheridanShermanSmithStaffordStantonStevensSumnerThomasTregoWabaunseeWallaceWashingtonWichitaWilsonWoodsonWyandotteDate of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What is your gender?FemaleMaleTransgenderNonbinaryPrefer not to answerWhat is your preferred method of contact? Phone Email Text What days/times work best for you? Do you have co-applicant? (spouse, partner or other adult living in your home)(Required) Yes No Co-applicant's Name First Middle Last Please list any previous or alternative names used by your co-applicant (maiden name, previous married names, abbreviated names, nicknames, birth names, etc). Co-applicant's Email Co-applicant's PhoneCo-applicant's Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What is your co-applicant's gender?FemaleMaleTransgenderNonbinaryPrefer not to answerWhat are you interested in? Foster Care Foster to Adopt Adoption Only Respite Care Unsure at this time How did you hear about TFI? Foster Family Agency Staff Social Media TV/Newspaper Church Bulletin/Presentation TFI Website Online Search Other Agency Other Which site? Which church? Which agency? We'd love to thank them. Which media outlet? Which staff member referred you? We'd love to thank them. Which site? Facebook Instagram Google Other Which family referred you? We'd love to thank them. Please provide their full name. Have you completed foster parent training in your state? Yes No Are you currently licensed? Yes No Which agency and training did you complete? Are you licensing to care for a specific child? (i.e. a family member or friend) Yes No What is your relationship to this child? Have you or any member of your household ever been arrested/convicted of a felony? Yes No Please provide some details about the arrest and/or conviction. Have you or any member of your household ever been involved in a domestic violence incident? Yes No Please provide some details about the domestic violence incident. Have you or any member of your household ever been the subject of an investigation for abuse or neglect? Yes No Please provide some details about the investigation. What ages are you interested in caring for? 13+ (Our state has the greatest need for homes for this population) 5-12 0-5 (Younger kids are often placed with family) Unsure or open to any child in need We always try to keep siblings living together. Are you open to caring for siblings (more than one at a time)? Yes No Maybe How many children are you interested in fostering?onetwothreefourfivesixDo either of the applicants have Native American heritage? Yes No Do you have a source of income that covers the living expenses of your family? Yes No How many bedrooms do you have in your home?OneTwoThreeFourFiveMore than FiveDoes anyone else live in your home, full or part time, besides you and your co-applicant (if applicable)? Yes No Please list the full names (first, middle & last), ages, genders and relationship of all full or part time residents of your home (other than the applicant and co-applicant)? Please be sure to include all children even if they only live with you part-time. Please include alternative or previous names for anyone over 18 years old.Please list the full names (first, middle & last), ages, genders and relationship of all full or part time residents of your home (other than the applicant and co-applicant)? Please be sure to include all children even if they only live with you part-time. Please include alternative or previous names for anyone over 18 years old.Please list the full names (first, middle & last), ages, genders and relationship of all full or part time residents of your home (other than the applicant and co-applicant)? Please be sure to include all children even if they only live with you part-time. Please include alternative or previous names for anyone over 18 years old.Please list the full names (first, middle & last), date of birth, genders and relationship of all full or part time residents of your home (other than the applicant and co-applicant)? Please be sure to include all children even if they only live with you part-time. Please include alternative or previous names for anyone over 18 years old.Have you lived in any other state or country within the last five years? Yes No What state(s) and/or countries did you live in during the last five years? Has your co-applicant lived in any other state or country within the last five years? Yes No What state(s) or countries did your co-applicant live in during the last five years? Are either applicant currently in the military? Yes No Which applicant and are they currently deployed? Do you currently have pets? Yes No What type of pet (and breed) do you have? Exotic animals are prohibited in some states.All prospective foster parents are required to complete 30 hours of pre-service training before receiving their license. These trainings consist of weekly three-hour sessions for a duration of up to 10 weeks. To help us locate a training that works best for you, please indicate your availability below. Monday daytime Monday evenings Tuesday daytime Tuesday evenings Wednesday daytime Wednesday evenings Thursday daytime Thursday evenings Friday daytime Friday evenings Saturday daytime Saturday evenings Sunday daytime Sunday evenings All prospective foster parents are required to complete 30 hours of pre-service training before receiving their license. These trainings consist of weekly three-hour sessions for a duration of up to 10 weeks. To help us locate a training that works best for you, please indicate your availability below. Monday daytime Monday evenings Tuesday daytime Tuesday evenings Wednesday daytime Wednesday evenings Thursday daytime Thursday evenings Friday daytime Friday evenings Saturday daytime Saturday evenings Sunday daytime Sunday evenings All prospective foster parents are required to complete 27 hours of pre-service training before becoming certified. To help us locate a training that works best for you, please indicate your availability below. Monday daytime Monday evenings Tuesday daytime Tuesday evenings Wednesday daytime Wednesday evenings Thursday daytime Thursday evenings Friday daytime Friday evenings Saturday daytime Saturday evenings Sunday daytime Sunday evenings All prospective foster parents are required to complete 30 hours of pre-service training before receiving their license. These trainings consist of weekly three-hour sessions for a duration of up to 10 weeks. To help us locate a training that works best for you, please indicate your availability below. Monday daytime Monday evenings Tuesday daytime Tuesday evenings Wednesday daytime Wednesday evenings Thursday daytime Thursday evenings Friday daytime Friday evenings Saturday daytime Saturday evenings Sunday daytime Sunday evenings All prospective Texas foster parents are required to complete 34 hours of pre-service training before receiving their license. These trainings are offered each month in a virtual, instructor-led format and vary from 2 hour to 8 hour sessions, based on the topic being taught. Additional self-taught, online trainings must also be completed. To help us locate a training that works best for you, please indicate your availability below. Monday daytime Monday evenings Tuesday daytime Tuesday evenings Wednesday daytime Wednesday evenings Thursday daytime Thursday evenings Friday daytime Friday evenings Saturday daytime Saturday evenings Sunday daytime Sunday evenings Please provide the Name, Phone and Email for five references who have known you for at least three years.We must check your references in order to enroll you in training. If you don’t have all the information at this time, you may email it to us.
