2017 Membership Application


FAST services are provided free of charge to qualifying families. To qualify for membership families must have an adoptive, foster, guardianship, or kinship placement residing in your home, ages 18 or under. The children must be under the jurisdiction of the 11th Circuit St. Charles court, or the custodial parents (you) must reside in St. Charles county if the children are in the custody of a different county within  the state of Missouri.

Today's Date:
Last Name:
First Name:
Spouse's Name:
Address:
City:
State:
Zip:
Phones:
Home:
Work:
Cell:
E-mail Address:
Your DVN Number:

How many adults/children living in your home?

Adults:
Children:

Please list the names of the children who reside in your home *ONLY First Names*

Boys – First Names
Date of Birth
Grade entering in 8/17
Girls – First Names
Date of Birth
Grade entering in 8/17

Please check all that apply:






Will you need additional training hours?

Licensing/Subsidy Agency Information (Please check all that apply):











Licensing Caseworker Name:



 Phone Numbers:


Subsidy Caseworker Name:



 Phone Numbers:


Include my name, email, and phone numbers in the FAST family directory?


Code of Conduct for FAST Members

Eligibility

FAST services are provided free of charge to qualifying families. To qualify for membership families must have an adoptive, foster, guardianship or kinship placement residing in their home, ages 18 or under. The children must be under the jurisdiction of the 11th Circuit St. Charles County court, or the custodial parents (you) must reside in St. Charles County if the children are in the custody of a different county within the state of Missouri.

  • Household Status Changes: A renewal application notifying FAST of changes within your household (children leaving or new additions) should be made within 30 days of the household status change occurrence.

Code of Conduct

To best achieve our mission, we believe in a high level of conduct for all FAST families, associates and volunteers. The Foster Adoption Support Group, also known as FAST “Foster Adoption Support Team”, uses several tools to accomplish this.

  • Confidentiality Agreement: Confidential information may be shared with you. We have an obligation to all FAST families we serve to maintain their confidentiality and respect their privacy. You must not share this information with anyone who does not have a professional right or need to know. Release of confidential information to unauthorized persons may result in personal legal liability and will result in the termination of your association with FAST.
  • Judgment Impairing Drugs/Alcohol: The Foster Adoption Support Team has a zero tolerance policy for any FAST family member to be under the influence of judgment impairing drugs/alcohol prior to and/or during any Foster Adoption Support Team activity. This is to include participation at FAST events and attendance at the food pantry/clothing closet. If found to be in the unlawful possession, use, sale, manufacture or distribution of controlled substances participation with our organization and benefits will immediately be revoked.
  • Behavior: It is expected that all Foster Adoption Support Team families will avoid any action or conduct that could be reasonably viewed as unlawful, harassment or discrimination.

It is imperative that all FAST families abide by the limits set at FAST events and at the FAST food pantry/clothing closet. Abusing set limits is cause for termination of your participation with our organization and benefits will be immediately revoked.

Guidelines/Rules:

Quantity limits are posted to insure availability of enough items for each FAST member. No limit items indicate that you should select the total amount your household can use; excessive amounts should not be taken. Taking more than your household can utilize of “no limit” items without approval is not allowed.

  • FAST Events/FAST pantry/clothing closet are all non-smoking, this also includes vapor cigarettes.
  • FAST events/FAST pantry/clothing closet are held privately for FAST members only. Biological children 18 & under and foster/adopt children are the only children within your household who qualify for FAST events & services.

    1. Grandchildren living with you not in state care are not qualified to be included in FAST events or receive FAST benefits.
    2. Collecting gifts, gift cards, diapers or supplies for any children that do not qualify is grounds for termination of FAST benefits.
  • Non-members (especially biological parents of children in the state’s care) may NOT attend FAST events, be present on our parking lot, in our play area or within our building at any time.
  • FAST members are responsible for the safety and behavior of their children. FAST volunteers will do their best to assist but FAST members must monitor their children.
  • Children under the age of 18 cannot be left in cars while parents are utilizing the FAST pantry, unless another adult is present and supervising on your behalf.
  • On Saturdays, no one except volunteers should be on the FAST parking lot or in the FAST building prior to 12:30 pm.

WE CERTIFY that the facts contained in this application are true to the best of our knowledge and understand that, falsified information on this application shall be grounds for immediate termination of participation with our organization and all FAST benefits will be revoked. We have read the provided Eligibility, Code of Conduct and Guidelines/Rules information and agree to be compliant.

Name:
Spouse: