אור שלום
אור שלום

Become Foster Parents

Name*

Telephone*

Additional Tel

How did you learn about Orr Shalom (TV, radio, news report or elsewhere)?

Address

Email*

Family Status

Your age and that of your partner’s and children:
Your Age

Partner’s Age

Child 1

Child 2

Child 3

Profession

Religious Affiliation
 Secular Orthodox Traditional Haredi Arab Muslim Christian
Other, please provide details

Does your partner know that you are applying?
 Yes No
If not, please provide details

Is there a criminal record (The criminal record applies to anyone who lives at home and is 12 years old)?
 Yes No
If yes, please provide details

Years of Education
Parent 1

Parent 2

Does anyone in your family have health issues?
 Yes No
If yes, please provide details

If married, how many years have you been married?

If not married, how many years have you been living together?

Note:

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Language

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Become Group Home Parents:
If being parents in a Family Group Home for children at risk sounds challenging and meaningful.
If you are prepared to give and contain.
If you want to be part of this meaningful work, please send your CV to Tali Gefen talig2@orr-shalom.co.il