Fostering Enquiry Form

• Title *
  Please Select Mr. Mrs. Miss. Ms. Other
• First Name(s) * Surname *
• Have you ever been known by any other names? (e.g. maiden name) *
  Please Select No Yes
• Other Names *
• Date of Birth *
• Relationship Status *
  Please Select Single Married Civil Partnership Cohabiting Divorced/separated Widowed
• Do both applicants live at the same address? *
  Please Select No Yes
• Address *
  Address Line 1 Address Line 2
  City County
  Postcode
• Telephone Number *
• Email Address *
• I Identify my Ethnicity as *
  Please Select Indian Pakistani Bangladeshi Chinese Any other Asian background Caribbean African Any other Black background White and Black Caribbean White and Black African White and Asian Any other mixed background English Scottish Welsh Northern Irish Irish European Any other White background Prefer not to say
• Are you a permanent resident of the UK? *
  Please Select No Yes
• Do you have a valid UK driving license? *
  Please Select No Yes
• Do you own or have access to a car? *
  Please Select No Yes

• How many bedrooms are there in your property? *
• Do you have a spare bedroom that would be available solely for fostering? *
  Please Select No Yes
• Please provide details of anyone else that lives in the household
  • Name Relationship to you   +   -
• Do any members of the household smoke? (including e-cigarettes) *
  Please Select No Yes

In this section please provide a brief summary of information that is relevant to each question.

• Why would you like to become a foster carer? *
• Is there a particular age range that you would like to foster? *
• Do you have any experience of fostering? *
• Do you have any child care experience? *

• Have you ever been convicted by the courts or cautioned, reprimanded or given a final warning by the police? *

  (Please note: The role of foster carer is exempted under the Rehabilitation of Offenders Act (Exceptions Order) 1974, which means that all convictions, cautions, reprimands and final warnings on your criminal record need to be disclosed. A full DBS or PVG check will be undertaken during the assessment stage of your application.)

  Please Select No Yes
• If yes, please provide details of offences, penalties and dates below *
• Have you ever had any involvement with social services? *
  Please Select No Yes
• If yes, please provide details and dates below *
• Please provide any other information that you feel may be relevant to your plans to become a foster carer:

• Have you ever been convicted by the courts or cautioned, reprimanded or given a final warning by the police? *

  (Please note: The role of foster carer is exempted under the Rehabilitation of Offenders Act (Exceptions Order) 1974, which means that all convictions, cautions, reprimands and final warnings on your criminal record need to be disclosed. A full DBS or PVG check will be undertaken during the assessment stage of your application.)

  Please Select No Yes
• If yes, please provide details of offences, penalties and dates below *
• Have you ever had any involvement with social services? *
  Please Select No Yes
• If yes, please provide details and dates below *
• Please provide any other information that you feel may be relevant to your plans to become a foster carer:

• The next step of the process is to have a short telephone call with one of our Enquiry Officers to confirm the details you have provided and discuss your suitability to progress to the next step. Please let us know a convenient date and time for us to contact you.

• Best day(s) to call *
  Please Select Monday Tuesday Wednesday Thursday Friday
• Best time of day to call *
  09 10 11 12 13 14 15 16 17 18

  :

  00 15 30 45

• • Any information supplied by you may be held in an electronic form and processed in relation to your fostering application, in accordance with General Data Protection Regulations. For more details please see our privacy policy

    I confirm that the information entered within this form is correct to the best of my knowledge, and I accept the terms set forth in the privacy policy*