Interested in becoming a Resource Family Mentor?

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A Resource Family Mentor is a caring, responsible volunteer who serves as a trusted friend and guide to foster, adoptive and kinship families. They provide support, encouragement, and information to new and current AFFM families as they work effectively with DHHS Office of Child and Family Services (OCFS). Mentors also assist families in connecting with community organizations committed to strengthening and preserving families and promoting the importance of continuing education.

Thank you for your interest in becoming a Resource Family Mentor! Please fill out this form and an AFFM team member will contact you to discuss further.

Email *

First and Last Name *

Complete Address (street, city, state, zip) *

County *

Androscoggin

Aroostook

Cumberland

Franklin

Hancock

Kennebec

Knox

Lincoln

Oxford

Penobscot

Piscataquis

Sagadahoc

Somerset

Waldo

Washington

York

Phone Number *

Where is your DHHS Licensing Office?

How long have you been a licensed Resource Family? *

Less than 2 years

2 or more years

License Number

Please choose one of the following options: *

You consent to AFFM submitting a background check for the name listed on this form

You do NOT consent to AFFM submitting a background check for the name listed on this form

Please choose one of the following options: *

I prefer to work with Foster Families

I prefer to work with Kinship Families

I prefer to work with Adoptive Families

I have no preference

Other:

Please check all that apply to your experience:

Helped reunify a child successfully

Provided visits in your home

Fostered a relative

Adopted a child

Was/Is a legal guardian

Provided permanency guardianship

Extensive knowledge of DHHS policy and procedure

Cared for children with fetal alcohol spectrum disorder

Cared for children involved in the juvenile justice system

Cared for children with extreme behavioral/mental health challenges

Cared for a drug exposed infant

Cared for children with medical needs

Cared for teens

Cared for children with autism spectrum disorder

Worked professionally with children/families

Continue to have contact with former foster youth

Familiar with special ed services/supports

Familiar with the ICPC process

Received HCT services

Received targeted case management

Received Wrap-Around Services

Received "Section 28" services

Worked with culturally diverse families

Was a former youth in care

Cared for LGBTQ+ children

Am a LGBTQ+ parent

Am a single parent

Cared for transracial children

Other:

Please check all that apply:

Available on weekends

Available evenings

Available during the day

Prefer email vs. phone call

Prefer phone call vs. email

Prefer text messaging

Willing to meet face to face

Other:

Why would you like to be a mentor? *

Is there anything else you would like to share that will help us make a successful mentoring match?

A copy of your responses will be emailed to the address you provided.

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