Facing Foster Care In Alaska Laptop Application
Complete this application in order to get a FFCA laptop. This form must be completed in its entirety.
What is your first name? *
Your answer
What is your last name? *
Your answer
What is your date of birth? *
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What is a good phone number to reach you at? Please include the area code and follow this format (XXX) XXX-XXXX. *
Your answer
What is a good email address to reach you at? *
Your answer
What city are you currently living in? *
Your answer
As of today, how many years have you spent in the foster care system? Please use a number to represent the number of whole years in care. Round 0-5 months down to the lower number and 6-12 up to the higher number. *
Your answer
As of today, how many placements have you had while in foster care? Please use a number to represent the number of placements. *
Your answer
Are you currently planning or have you stayed in foster care past the age of 18?
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