Network Family Application

Family Information

First Name *

Last Name *

Email *

Phone *

Are you a currently, or have you previously been, a Certified Foster Family? *

Yes
No

If you are not a currently Certified Foster Family, or have not been certified in the past, please contact us before completing this application: Send us an email

What parish do you live in? *

If Other Where:

Thanks for your interest in joining our network! We currently only serve families in the parishes listed above, but would be happy to help you get connected with other resources in your area. Please email Shelby Baird for more info.

Gender *

Male
Female

Marital Status *

Married
Separated
Divorced
Single

Spouse's Name

How did you hear about Crossroads NOLA?

If another foster parent, who?

Please explain:

Crossroads NOLA Foster Family Network Agreement

Required

Single Checkbox Field (copy) *

I agree to schedule a 1:1 meeting with Crossroads' staff

Single Checkbox Field *

I agree to read The Connected Parent & Foster the Family, watch the TBRI Introduction Training Video, and complete discussion questions based on their content

Purchase The Connected Parent - Review the Discussion Questions

Purchase Foster the Family - Review the Discussion Questions

Single Checkbox Field (copy) (copy) *

I agree to identify 3 family partners

Single Checkbox Field *

I agree to report placement data to Crossroads NOLA when requested (quarterly)

Optional

Single Checkbox Field (copy) (copy) (copy)

I agree to provide a church leader reference

Single Checkbox Field (copy) (copy) (copy)

I agree to review and sign off on the Crossroads' statement of faith

Statement of Faith

Foster Family Network Application

Family Information

Crossroads NOLA Foster Family Network Agreement

Required

Optional