Ready to be part of our host support team?
Thank you for your interest in becoming a host child backup family or chaperone host family with P143!
Name (First and Last)
Home Address (include separate mailing address if it's different)
Best Phone to Reach You
Best Email to Reach You
Nearest major airport to your home? (List city/state of airport location)
Do you speak another language in addition to English? (Please list which ones)
Share with us if you have hosted, fostered or adopted in the past. Check all that apply
Hosted a Child
Fostered a Child
Adopted a Child
Housed an Adult Chaperone
None of the above
Have you taken or received any foster parent, TBRI or trauma-related training? (Please explain)
Is anyone home regularly during the day?
All adults in the home work outside the home
One parent/adult is home during the day
Are there pets in the home? (How many and what type?)
How would you describe your family? Check all that apply.
Busy & 'On the Go"
Relaxed & Laid Back
Routine & Scheduled
Young Children (Under Age 12) in the Home
Teenagers in the Home
Adult Children in the Home
We live in the city, near public transportation
We live in the suburbs
We live well outside the city in a remote area
In what capacity are you open to serve?
Willing to be a backup family for a child on the host program
Willing to be a host home for an adult chaperone who is accompanying the host children
Willing to consider both of the above
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