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Placement Interest Response
This basic information will help us get you to the best person on our team and they will follow up with your next steps.
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First and Last Name
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Your answer
What's the best phone number to get in touch with you?
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Your answer
What's the best email address for you?
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Your answer
Which county are you located in?
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Madison
St. Clair
Bond
Jersey
Greene
Williamson
Franklin
Jackson
Saline
Johnson
Monroe
Other:
Are you a licensed foster parent?
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Yes
No
If licensed, please include your agency and licensing worker’s contact information.
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Your answer
Are you a Restore Network foster family?
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Yes
No
Do you give consent for this information to be shared with the necessary Restore Network and child welfare staff for the purposes of finding placement for the child (or children) mentioned in the social media post?
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Yes
No
Which kid/post are you inquiring about? (Please have a specific child/post in mind, not "any" or a general age range. Thank you!)
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Your answer
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