A diligent 17-YEAR OLD BOY

A hard-worker, who loves to have fun, this 17-year old Native American boy is in need of caregivers. This young man loves playing video games and soccer. He also plays the flute.

He has faced some challenges and, like most teenagers, can at times be closed off. But he is resilient and wants to be an active member of a loving family.

If you have a big heart and an empathetic mind, you might be the right person help this young man.

Learn more by completing the form below.

Inquiry Form

Name*
First Last
Mobile Phone*
Email*
Street Address*
Street Address City State ZIP Code
Which County do you live in?*
Date of Birth*
Month
Day
Year
Gender
What is your marital status?
What is your current employment status?
Employment is not a requirement for approval.
Do you have a co-applicant?
(ie. Spouse, partner, etc.)
Co-applicant Name (if applicable)
First Last
Co-applicant's Date of Birth
What is your co-applicant’s current employment status? (If applicable)
Employment is not a requirement for approval.
Do you have children living at home?
If yes, how many children do you have living at home?
Do you have an extra bedroom to accommodate a young person?
It is acceptable for a teenager to share a room with another teen of the same-gender.
Would you consider taking siblings?
In the last five years, have you lived in any state other than your current state of residence?
Have you ever been a certified foster parent (or resource parent)?
If yes, what is the name, city, and state of the agency you were last certified?
Do you have any questions we can answer for you?
What language do you prefer to communicate?
Name
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