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*Name
*Age (in whole years)
*Gender
*Street address
*Town/Suburb
*State
*Postcode
*Phone (Mobile Preferred)
*Preferred contact time (within business hours)
*Email

(Again) 
*Would you like to receive our email newsletter?
 
*Where did you hear about Fostering NSW?

In order to refer your your enquiry to the most appropriate foster care agency, do you identify as any of the following?

*Aboriginal or Torres Strait Islander
V
*Culturally or linguistically diverse
*LGBQTI
*Which best describes your household?
*Which best describes your work situation?
*Do you work or have you ever worked with children or young people in:
*Would you have a separate bedroom for a foster child?
V
*Do you have children living at home?

Would you consider providing:

*Emergency/Crisis Care?
*Respite Care?
*Short Term Foster Care?
*Long Term Foster Care?
*Fostering to Adopt

Would you consider providing foster care for:

*Children under 5?
*Children over 5?
*Young people/Adolescents?
*Sibling Groups?
*Children with Special Needs/Disabilities?
*Enquiry/Comments
*Are you willing to be contacted by Fostering NSW in the future to ask you about ways to improve our service?