Foster Care Inquiry Step 1: Complete this secure form Fields with * are mandatory Applicant #1 Legal First Name* Applicant #1 Legal Last Name* Applicant #1 Also Known As or Alias Applicant #2 Legal First Name Applicant #2 Legal Last Name Applicant #2 Also Known As or Alias Applicant #1 Gender*FemaleMale Applicant #2 GenderFemaleMale Applicant #1 Status SingleMarried/Partner Street Address* Address Line 2 City* State*---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Contact Phone #* Email Address* Referral Source (How did you hear about us?)* Which option best describes your interest in our Foster Care program?* I only want information at this time.I only want information at this time, but please follow up with me in 30 days.I only want information at this time, but please follow up with me in 60 days.I only want information at this time, but please follow up with me in 90 days.I am ready to apply. Would you like the paperwork mailed via the US Postal Service or e-mailed? (If e-mailed, you'll need a printer)* Regular MailEmail Are you currently licensed/certified/verified?* YesNo If yes, please identify your current agency. Have you been previously licensed and/or trained?* YesNo If yes, please identify your previous agency. Do you have a licensed or registered daycare in your home?* YesNo Do you plan on licensing only for a specific child?* YesNo Relation to specific child: Are all applicants aged 21 or older?* YesNo Notes / Comments By submitting this inquiry, I authorize TFI Family Services, LLC. to investigate all statements contained in this inquiry as may be necessary to arrive at a licensing eligibility determination, and to conduct initial background checks as are relevant to my interest to become a Care Provider (foster parent) with TFI's foster care program. I understand additional information will need to be provided to TFI following this submission, including names of references.