Partners in Foster Care: Foster & Kinship Carer Enquiry Form

If you are interested in becoming a foster carer or would like more information on foster caring please complete the below form. One of our friendly staff will be in contact with you shortly to follow up.

Your Details:
Title *First Name *Family Name *Preferred Name *
Gender *Date of Birth *
Which country were you born in? *
You identify as being: *
What is your Ethnicity/Cultural Identification? *
(e.g. Australian South Sea Islander, German, etc)
Do you have a partner/other adults living in the household?
If yes:
TitleFirst NameFamily NameDate of Birth
Residential Address:
Address:
Suburb:State:Postcode:
Postal Address:
Address:
Suburb:State:Postcode:
Methods of Contact:
* E-Mail:
 Phone #Quick Notes (e.g. only on Mondays)Preferred
Daytime:
After Hours:
Mobile:
or:
Fostering Questions:
Have you previously enquired about becoming, or been, a foster carer? *
How did you hear about becoming a Foster Carer?








Other:
Type of care you are looking at?
Would you like an information pack?

Personal information collected on this form will be retained and used for the purpose of responding to foster carer related enquiries for Partners in Foster Care, an entity of South Burnett CTC Inc.  Without this information Partners in Foster Care may be unable to process your enquiry.  The information collected on this form will be used by Partners in Foster Care and will be shared with the Department of Communities, Child Safety and Disability Services.  To access and seek correction of your personal information or to obtain a copy of South Burnett CTC Inc’s privacy policy, go to www.sbctc.com.au or phone (07) 4162 9000.