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Iredell County Department of Social Services FOSTER HOME Application
Fostering Details
Iredell County Department of Social Services licenses foster families to provide temporary care to children who are in the legal custody of the department and who must live apart from their biological family for a period of time due to abuse, neglect or dependency. While children are in the legal custody of a department of social services, services are provided to the child and parents to ensure the child can be reunified with the biological parents. These services are provided and monitored by a foster care social worker from a department of human services with oversight by the court system.
Be sure to complete the application in its entirety. If a question does not apply, please include N/A.
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Gender:*
1. Male
2. Female
3. Both
Ideal age range of child(ren) interested in fostering:*
1. 0-3
2. 4-10
3. 11-14
4. 15-18
Ideal number of children to foster:*
Full Legal Name:
Applicant #1*
Applicant #2
Previous Names (including married names):
Applicant #1
Applicant #2
Marital Status:
Applicant #1
Applicant #2
If married, date & place:
Applicant #1
Applicant #2
Date of birth:
Applicant #1
Applicant #1
Applicant #2
Applicant #2
Place of birth (city & state):
Applicant #1
Applicant #2
Race:
Applicant #1
Applicant #2
Gender:
Applicant #1
Applicant #2
Occupation:
Applicant #1
Applicant #2
Employer:
Applicant #1
Applicant #2
Annual salary:
Applicant #1
Applicant #2
Work schedule (example 8am-5pm):
Applicant #1
Applicant #2
Highest grade completed:
Applicant #1
Applicant #2
How long have you lived in Iredell County?
Applicant #1*
Please specify the number of years you have lived in Iredell County.
Applicant #2*
Please specify the number of years you have lived in Iredell County.
Applicant #1 - Where did you reside prior to residing in North Carolina?*
Applicant #2 - Where did you reside prior to residing in North Carolina?*
Home address (street, apartment number, etc.):*
City:*
State:
Zip code:*
Email address(es):*
Telephone numbers:
Home or main contact #*
Work #
Cellphone #1
Cellphone #2
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Foster Care Questions
How will you help support the reunification process between the foster child placed in your home and his/her family? *
How will you prepare yourself and your family to cope when a child who you have been fostering is returned to their birth family? *
What comfort level do you have in working directly with the foster child’s birth parents or extended family? *
Why are you interested in becoming a foster family? *
How did you hear about us? *
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By checking the following box, I certify that the information provide on this application is correct to the best of my knowledge. I also authorize the Iredell County Department of Social Services to conduct criminal checks on myself and members of my household.
*
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