Private Fostering Form

Will the child live in:

What is the child's arrival date

You don't need to tell us about the arrangement.

You'll need to tell the local council where the child will live as we only deal with arrangements in Bournemouth, Poole and Dorset, here's the link to help you find it Find your Council

Your notification is too soon

Thank you but we cannot accept notifications any sooner than 12 weeks before the child's arrival. Come back and complete this form at a later date.

Tell us about the main carer in the host family

Name

Date of Birth

Gender

Email address

Phone number

Mobile phone number

Address

Nationality

Has a GP health check been requested?

We need to take details of everyone that is living with you, to make sure the arrangement will be suitable for everyone involved.

Is there anyone else living with you (including children)?

Secondary carer or other member of the household?

Name

Date of Birth

Gender

Nationality

Has a GP health check been requested?

Secondary carer or other member of the household?

Name

Date of Birth

Gender

Nationality

Has a GP health check been requested?

Secondary carer or other member of the household?

Name

Date of Birth

Gender

Nationality

Has a GP health check been requested?

Secondary carer or other member of the household?

Name

Date of Birth

Gender

Nationality

Has a GP health check been requested?

Secondary carer or other member of the household?

Name

Date of Birth

Gender

Nationality

Has a GP health check been requested?

All people aged 16 or over need an Enhanced DBS certificate relating to Private Fostering activity.

Please tell us the DBS information for the following people.

Main Carer

Certificate number

Date of issue

Clear

Person 1

Certificate number

Date of issue

Clear

Person 2

Certificate number

Date of issue

Clear

Person 3

Certificate number

Date of issue

Clear

Person 4

Certificate number

Date of issue

Clear

Person 5

Certificate number

Date of issue

Clear

You can't place a child at this property because not everyone has a DBS certificate.

Please come back when you have a DBS certificate for everyone over 16 living at the property.

The Main Carer will need to get a new DBS certificate because it's over 3 years old.

Person 1 will need to get a new DBS certificate because it's over 3 years old.

Person 2 will need to get a new DBS certificate because it's over 3 years old.

Person 3 will need to get a new DBS certificate because it's over 3 years old.

Person 4 will need to get a new DBS certificate because it's over 3 years old.

Person 5 will need to get a new DBS certificate because it's over 3 years old.

Please come back when you have a DBS certificate for everyone over 16 living at the property.

Please tell us the details of the child being cared for

First name

Last name

Gender

Date of Birth

Passport number

Nationality

First language

Ethnicity

Religion

Email address

Date of departure

School they'll attend

Where will the child be sleeping

Does the child have any health needs or allergies?

What are the child's health needs or allergies?

Has the carer been made aware of the child's health needs?

What are the plans for telling the carer about the health needs or allergies?

Has the child got medical insurance?

Please tell us the details of the child's birth family

First Name

Last Name

Email address

Telephone number

Address

Details unknown

Emergency Contact details

Name of person to contact in an emergency

Email

Relationship to the child

Is there any other information you would like to give us?

Please tell us the details of the Language School / Guardianship company

Language school / guardianship company name

Contact name

Contact telephone number

Contact email

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