Online Fostercarer Application

If you are interested in becoming a foster carer with Hillcrest Fostercare please take some time to complete this online form and click the send button at the end of the form. When we receive the completed form someone will be in touch within 2 working days.

Alternatively if you would rather complete the application by hand and post it to us you can download the application form by clicking here.

: 1st Applicant
Surname:
Forename:
Date of Birth:
Ethnic origin (Please specify):
Religion:
Practising:: Yes No

: 2nd Applicant
Surname:
Forename:
Date of Birth:
Ethnic origin (Please specify):
Religion:
Practising:: Yes No

: Contact Details
Address line 1:
Address line 2:
Postcode:
Time at current address:
Telephone:
Mobile phone number:
Email address:

: Further Details
Any other adults living in the home?: Yes No
If yes please provide details:
Adult 1: Full name: Date of Birth:
Adult 2: Full name: Date of Birth:
Adult 3: Full name: Date of Birth:
Adult 4: Full name: Date of Birth:

: Children of Applicant
Child 1: Full name: Date of Birth:
Gender: Male Female Living at home: Yes No
Child 2: Full name: Date of Birth:
Gender: Male Female Living at home: Yes No
Child 3: Full name: Date of Birth:
Gender: Male Female Living at home: Yes No
Child 4: Full name: Date of Birth:
Gender: Male Female Living at home: Yes No

Employment Details: 1st Applicant
Nature of Employment:
Hours Worked:
: 2nd Applicant
Nature of Employment:
Hours Worked:
How will the above alter if you foster:

: Accommodation
Number of bedrooms:
Does any member of the household smoke?: Yes No
Do you have any pets?: Yes No
If so, give details:
Do you drive a car?: Yes No

: Current Status
Are you currently fostering for a local authority or independent agency?: Yes No
If so, give details citing type of experience, training undertaken etc.:
Are you aware that you cannot be registered with more than one authority?: Yes No
Have you ever had a child removed from your care?: Yes No
If so, give details:

Statutory Checks
As part of your assessment, statutory checks are undertaken including criminal record checks and a full medical. If there is ANY information we should know at this stage? Please give details:

Range of Children
Do you have a particular gender, age range, number of children in mind? If yes, please indicate: Yes No
Age:
Gender: Male Female
Number of children:

What type of care are you interested in? (Please tick appropriate box): Emergency Respite Disabilities Short Term Medium term Long term Remand Parent & Child Not sure

Why do you want to foster?
Where did you hear about us?

Hillcrest - Positive Actions, Positive Outcomes - 24hr Referral line: 08458 727 477 - Head Office: 02392 492165

Online Fostercarer Application

1st Applicant

2nd Applicant

Contact Details

Further Details

Children of Applicant

Accommodation

Current Status

Statutory Checks

Range of Children

Additional Information

Hillcrest Locations