Interested in becoming a Resource Family Mentor?
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.
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Email address
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Your email
First and Last Name
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Your answer
Complete Address (street, city, state, zip)
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Your answer
County
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Androscoggin
Aroostook
Cumberland
Franklin
Hancock
Kennebec
Knox
Lincoln
Oxford
Penobscot
Piscataquis
Sagadahoc
Somerset
Waldo
Washington
York
Phone Number
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Your answer
Where is your DHHS Licensing Office?
Your answer
How long have you been a licensed Resource Family?
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Less than 2 years
2 or more years
License number
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Your answer
Please choose one of the following options:
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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:
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I prefer to work with a new Foster Family
I prefer to work with a new Kinship Family
I have no preference
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
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?
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Your answer
Is there anything else you would like to share that will help us make a successful mentoring match?
Your answer
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