Foster Care Inquiry - Community Impact Programs

We are so happy you came to learn more about becoming a foster parent.  If you...

- Have a desire to nurture a child who needs a safe place to live,

- Feel called to care for children or youth who have lived through difficult experiences,

- Think its the right time to open your heart and home to children,

                              …consider becoming a foster parent and make a lifetime of difference!


Please click the following hyper links to read more about:


If you reside in Kenosha County and would like someone to contact you about becoming a foster parent, please fill out the form below!  For all other inquiries, please contact us directly at 262-654-1004 ext. 3.  

Ready to begin your foster care journey?  Click HERE  to download an application!  Please submit completed applications via email to fostercare@psgcip.com or in person/by mail to CIP - Foster Care, 6233 39th Avenue, Kenosha, WI 53142.

Sign in to Google to save your progress. Learn more
Email *
Name(s) of Interested Applicant *
Mailing Address with City and Zip Code *
Phone Number *
Email Address *
Best Way to Contact You *
I/We are open to: *
Required
How Did You Hear About Us? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms