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Foster Parent Interest Form
This form provides our team with initial information about your willingness to become a foster parent. You will contacted by one of our staff members to follow up on your willingness to foster parent.
First Name
*
Last Name
*
Street 1
*
Street 2
City
*
State/Province
*
Select a State
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Armed Forces Americas (except Canada)
Armed Forces Africa, Canada, Europe, Middle East
Armed Forces Pacific
Zip/Postal Code
*
Email Address
*
Phone Number
*
Are you currently a licensed foster parent?
*
Yes
No
If you answered yes to the above question, are you looking to
Transfer license to VOA
Seeking placement through VOA
Both
How many spare bedrooms do you have available for foster care?
*
What type of care are you interested in providing?
*
No preference
Respite Care (1 day – 14 days)
Traditional Foster Care
Foster to Adopt only
What is your gender preference for children you would be caring for?
*
No Preference
Female
Male
What age range do you prefer to care for?
*
No preference
0-12 months
1-5 years
5-12 years
13-18 years
18-21 years
Please add any information you would like us to know, that is not captured above.
Contact Volunteers of America of Illinois at
Phone: 312-564-2300
info@voail.org
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