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Home
About Us
Our Organization
Our Team
Our GP Brand
Programs
ACHIEVE
After School
Athletics
Basketball
Dance
Softball
Track
Volleyball
BrainPower
First Place Leadership
Parent Resources
School Holidays
Summer Day Camp
Events
Amazing Give
Chicken Lunch
Hats, Hearts, & Handbags
Scramble for Kids
Swamp Chomp
Join Team GP
Employment
Volunteers
DONATE
Donate
Foster Family Questionnaire
02
Aug
Foster Family Questionnaire
Girls Place
0 Comments
Uncategorized
Foster Family Questionnaire
Foster Care Placement Information
Foster Parent #1 Name
*
First
Last
Email for Foster Parent #1
Foster Parent #2 Name
First
Last
Email for Foster Parent #2
Name of Child Placed
*
First
Last
Date of Placement
*
MM slash DD slash YYYY
Placing Agency
*
Nature of Placement
*
Licensed Foster Home
Kinship Care
Fictive Kin Placement
Child Information
Does the child have siblings placed separately?
*
Yes
No
Is there a no contact order for any member of the child's biological family?
*
Yes
No
If yes, who?
Does the biological family have unsupervised visitation that may occur during Girls Place, Inc. hours?
*
Yes
No
If yes, who?
If yes, what is the schedule?
Case Worker Contact Information
Cell Phone
*
Office Phone
*
Email Address
*
Is this an out of county placement requiring a courtesy worker assignment?
*
Yes
No
If yes, please provide contact information for the placing agency and primary case worker.
Girls Place
2019 Summer Day Camp Swimming Ability