Fostering Information Request Form

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Fostering Information Request Form

Thank you for taking time to read our online information about Fostering. If you require further information, or are interested in becoming a foster carer, please complete this form. We will call back during office hours to further discuss your enquiry.

Details

* Indicates Mandatory Field

Your Full Name *

Your Address *

Your Postcode *

Home Number

Mobile Number

Work Number

Email address *

Date of Birth (dd/mm/yyyy) *

Household Members (Please specify all individuals in the household)

Person 1 Full Name

Date of Birth

Nationality

Person 2 Full Name

Date of Birth

Nationality

Person 3 Full Name

Date of Birth

Nationality

Person 4 Full Name

Date of Birth

Nationality

Person 5 Full Name

Date of Birth

Nationality

Person 6 Full Name

Date of Birth

Nationality

Further Information

How many bedrooms do you have for the purpose of fostering (a foster child needs their own bedroom)? *

Are you a UK citizen or a full-time resident in the UK or have leave to remain? *

Does anyone in your household smoke? *

If so, are they willing to undertake a smoking cessation programme? *

Where did you hear of publicity on Fostering?

Verification

For Further Information Contact

Family Placement Team
Kilncraigs, Greenside Street, Alloa, FK10 1EB
Tel: 01259 225085 / 450000
Email: fosteradopt@clacks.gov.uk

Clackmannanshire Council Online

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