Foster care 411 pgs. 23, 24 fpot

FYI: Foster Youth Involved

Entering Foster Care This is a form for the youth who is entering foster care to fill out. He/she should give a copy to whomever they think might need this information, for example a caseworker, a foster parent, a lawyer, CASA or Guardian Ad Litem.

My name is ____________________________________ and I would like to have a say about what happens to me while I am in foster care. I am ________ years old.

Please take my opinions into account when you are creating a plan for me. If you are not able to meet any of my wishes listed below, please inform me and explain why not as soon as possible.

How I feel about going into foster care (check all that apply): I am happy and hopeful that my life will be better I don't understand why I have to go into foster care I understand why I am in foster care, but I don't agree with the reasons I am scared about what is going to happen to me I am afraid of what will happen to my parents I know it is the best thing, but I am still very sad I am angry that this is happening to me I feel this way: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

About my family and friends: I have __________ brothers and ____________ sisters.

It is important to me that I be put in the same home that they are It is not very important to me that I am in the same home as them I want to visit with them and talk to them as often as possible Things I think you should know about my brother/sister: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ I have the following pets: _________________________________________________________________ Other people who are important to me: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ (continued on the next page) Copyright Š 2008 FosterClub, Inc. Permission to copy granted if all information remains unchanged.

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About my biological parents: How I feel about being removed from my parents' home (check all that apply): Relieved Sad Angry Stressed out Happy Worried ____________________________________ I would like to have visits with my parents (check all that apply): Often Sometimes Never As soon as possible After things settle down After they get better Only when another adult is present Only with one parent: (list who)__________________ Some things I would like you to know about my parents and my home: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

About my school: I attend ________________________________________ school and am in the _______ grade.

Please check any that apply: I do well in school I need some help catching up in school I need help catching up in certain subjects (list them): _________________________________________________________________ School is very difficult for me I wish to remain in my same school while I am in foster care I would prefer to move to a different school It doesn't matter if I stay in the same school or move to a different school

These things are important to me, no matter where I live: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

Copyright Š 2008 FosterClub, Inc. Permission to copy granted if all information remains unchanged.

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