	MISSOURI DEPARTMENT= OF SOCIAL SERVICES CHILDREN’S DI= VISION FOSTER FAMI= LY PROFILE
HOUSEHOLD COMPOSITION
FUL= L NAME	SEX=	AGE=







LIST ANY PETS IN THE HOUSEHOLD
Describe how you structure your environment so= that it is safe and healthy for a child. _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________
Describe how you express positive feelings tow= ard a child both verbally and physically. _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ Describe how you recognize and r= espond appropriately to a child’s verbal and physical expressions of needs= and wants. _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________
Describe how you consistently use appropriate techniques to discipline a child and refrain from using corporal punishme= nt on any child in the custody of the Children’s Division.<= /span> _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________ _________________________________________________________________= _______________________________

FOSTER FAMILY PROFILE CONTINUED
Describe how you guide a child t= owards independence. _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________
Describe how your family works w= ith a child(ren) and their birth family, including parents and siblings. _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________
FOSTER PARENT ETHNIC AND RACIAL BACKGROUND As = required by 13 CSR 35-60.030
FOSTER PARENT 1	FOSTER PARENT 2
FOSTER PARENT LIFESTYLE (i.e. RELIGIOUS PREFER= ENCES, SEXUAL ORIENTATION, FAMILY ACTIVITIES, etc) As required by 13 CSR 35-60.030
FOSTER PARENT 1	FOSTER PARENT 2
EDUCATIONAL PRACTICES (i.e. HOME SCHOOLING, PUBLIC/PRIVATE SCHOOL) As required by 13 CSR 35-60.030
FOSTER PARENT 1	FOSTER PARENT 2
FOSTER PARENT EMPLOYMENT (List Occupation) As = required by 13 CSR 35-60.030=
FOSTER PARENT 1	FOSTER PARENT 2
Additional comments
______________________________________________= __________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________ _______________________________= _________________________________________________________________
FOSTER PARENT 1 SIGNATURE	DATE SIGNED
FOSTER PARENT 2 SIGNATURE	DATE SIGNED
THANK YOU FOR YOUR TIME.