Proctor Parent Interest Form

Your Name (required)

Your Email (required)

City & State

Phone Number

Are you married?

What is your occupation?

Have you been a foster/proctor parent before?

Do you have experience in Developmental Disabilities?

Do you have a criminal history?

Has anyone accused you of abuse?

Do you live in a condo, apartment, duplex, or a single family home?

Would you be able to provide a proctor child with their own bedroom (not shared with another child or doubling as something else)?

How many people live with you?

Do you have children and do they live with you?

What are the ages of your children living with you?

Do you have pets, if so, what type?

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  • About Renew Consulting

    Renew Consulting Inc., is a service driven organization committed to ‘providing the greatest service possible’. We are a diverse consulting company within the social services realm dedicated to preserving the rights of individuals and improve quality of life. When we discover there is a need within our community we strive to find a solution. Our success is based on our ability to provide opportunities, support and solutions.

  • Administrative Offices

    127 Broadalbin St. SW Albany, OR 97321 Phone: 541-981-2458 Toll Free: 866-793-7439 Fax: 541-981-2495 Toll Free: 866-793-7440