Suitability Questionnaire

If you’re interested in becoming a fosterer then please complete our suitability questionnaire below. Your answers are confidential and will allow us to do an initial suitability criteria match. Please try and complete the questions as exhaustively as possible, if you have any difficulty or would like any clarification then please let us know. Once the form is submitted we will come back to you within 24hrs during UK office hours.

Applicant 1    
Applicant 2
Name
Name
Date of Birth
Date of Birth
Ethnicity
Ethnicity
Religion
Religion
Marital Status
Marital Status

Address

Address
Contact Numbers
Contact Numbers
Email
Email
Having read our information please answer the following questions

1. Do you live within a 25 to 30 mile radius of Birmingham?

Yes
 No
 
2. Will a young person have their own bedroom?
 Yes
 No
 
3. Do you work?
 Applicant 1 Yes
 No
Applicant 2   Yes
 No
Briefly explain your job title, how many hours a week you work and working times (give details of any shift work undertaken).

4. Are you fit, healthy and prepared to undertake a medical examination by your own GP?
 Applicant 1 Yes
 No
Applicant 2 Yes
 No
If you have answered no to this question, we will discuss this further with you

 
5. Do you have any previous criminal convictions?
 Applicant 1 Yes
 No
Applicant 2 Yes
 No
If you have answered no to this question, we will discuss this further with you

 
6. Are you able to take time and commit to initially a 3 day training program?
 Applicant 1 Yes
 No
Applicant 2 Yes
 No
 
 

7. Explain briefly your motivation and reasons to foster.

 
 

8. Explain briefly (each applicant) your childcare experience

 
 

9. What ages and gender of children/young people would you consider suits you and your family?

 
 

10. Besides finding us on the website. Have you heard of our agency prior to this, if so where?