Foster Parent Application

Whether you are single or married, a professional, a retiree or a homemaker, you can become a foster parent if you believe that a safe, caring and nurturing family environment is essential to the health and well-being of every child. Trinity welcomes individuals from all backgrounds, ethnicities, and walks of life to make a profound difference in the life a child in need.

Applicant Information Name:

Co-Applicant Information Name:

Address:

City:

State:

Zip:

Phone:

Residence Type - Select - House Apartment Mobile Home Other

Length of stay in current home:

# of Bedrooms

Pool, body of water at residence? - Select - Yes No

List any pets:

Other household members:Please list name & age for each member

Employment Info: List current employer, nature of work and monthly net salary

Have you ever been a foster parent, had a day care license, worked in a group home or in adult care ? - Select - Yes No

Have you / any adult in household been arrested, charged, or convicted of a crime (except minor traffic violations)? - Select - Yes No

Choose the closest location: Select A Location Houston Las Vegas Long Beach Palmdale Rancho Cucamonga San Diego Victorville West Covina