Become a Foster or Adoptive Parent

Prospective Foster and/or Adoptive Parent Recruitment Form

Thank you for your interest in becoming a foster parent to a New York City child through the Administration for Children's Services (ACS). You must have an email address to submit this form. If you do not have an email address or need help completing this form, please call the WISH Line at 877-676-WISH (9474).

Please select your community district:

Select a Borough: *

Select a Community: *

Prospective Parent Information

Information collected will be used for internal data purposes only!

First Name *

Middle Initial

Last Name *

Suffix

Primary Contact Type *

Primary Number (e.g., 212-555-1234) *

Alternate Contact Type #2

Alternate Contact Number (e.g., 212-555-1234)

Best Time to Be Reached *

E-mail Address *
If you do not have an e-mail address, please contact the WISH Line at 877-676-WISH (9474).

How did you hear about the foster/adoptive program?*

Please Specify:

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Home Information

House Number *

Street Name *

Apt #

City *

State *

Zip Code *

Area of Interest *

Community District *

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