Details of other people living in the home: Name Relationship to prospective foster parent Age School/class occupation Is there or has there been any serious illness/infection in the family? (If any, give details) ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ State the income and wealth of the prospective foster parents __________________________________________________________ Give details of businesses and land owned by the family/person ________________________________________________________ ___________________________________________________________________________________________________________ Description of the home _______________________________________________________________________________________ ___________________________________________________________________________________________________________ Number of rooms _________________________________ Type of toilet _______________________________________________ Type of water supply _____________________________________________________________________________________________ Will the family/person need material support in order to start fostering? (If the answer is “yes”, state what will be needed.)_____________ ___________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Why does this family/person wish to foster children? ________________________________________________________________ _______________________________________________________________________________________________________________ Do they understand the temporary nature of fostering? ___________________________________________________________________ Has the person/any member of the family had a serious conviction? (If yes, give details and dates and state whether in your opinion it is of such seriousness as to prevent the family/person from taking on a foster placement.) ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Assessment of the suitability of that family/person to foster children ________________________________________________________ ___________________________________________________________________________________________________________