Bayfield Treatment Centres

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Family Based Care Provider Application

Enter your Name

Enter your Location (Address including city of residence)

Enter your Telephone Number

Enter your e-mail address

How did you hear about Bayfield?

Please describe why you are interested in providing Family Based Care for a child or youth?

Do you have any previous fostering experience? If yes, please describe the experience.

Do you have any personal or professional experience supporting children and/or youth? If yes, please describe.

Are you currently able to provide a single bedroom for a child?

Yes

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Please describe the bedroom space.

Are you able to provide regular transportation for a child?

Yes

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Do you own a vehicle?

Yes

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Please describe your parenting philosophy.

What forms of behaviour correction would you use as a caregiver/parent?

Do you currently have a home that could accommodate a Foster Child?

Yes

Other:

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Do you rent or own the home?

Rent

Own

Other:

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Please describe the home (size, semi-detached, town house, apartment, etc.)

If you were to Foster, would there be anyone else residing in the home? If so, please give the number of individuals and their relationship to you...

How would you describe your strengths as a parent/caregiver?

Do you have any training that would be helpful to you in your work as a Family Based Care Provider? Please describe.

Do you have experience using a computer for writing reports or finding community resources?

Yes

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Do you have a computer and a printer?

Yes

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Submit

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