NORTHERN CALIFORNIA FAMILY CENTER
FOSTER PARENT AGREEMENT 
I, ____________________, agree to work with N.C.F.C. Foster Program beginning _______________in the position of Foster Parent(s) at a reimbursement rate between $710 and $840 per month 1. .
I, We understand that I/We am/are to supervise N.C.F.C. Foster children, twenty four hours a day, for as many days that the child is in my/our keeping. I/We assure that we will incorporate the child as a member of my/our family in activities such as meals, recreation, and access to common areas of the house. l/We will be paid monthly beginning the tenth (10) day of the month following placement and pro-rated for the number of days the child was placed. 
I/We understand that l/We am/are solely responsible for my/our own belongings and will take, suitable precautions for their protection. I/We am/are not to allow foster children to drive or start vehicles unless agency approved. l/We must have at least the minimum auto insurance coverage for the State of California to transport foster children. I/We guarantee that l/We will not discuss the foster child(ren)'s background outside of the facilities without prior authorization by N.C.F.C., in order to maintain confidentiality. 
l/We will notify the Social Worker of all arrests, tickets, injuries or illnesses. I/We realize that even off-duty time in the community reflects upon the Agency, foster home and foster child(ren) and that I/we will conduct myself/ourselves accordingly. 

Special Conditions 
1.

2.

3.

I/we understand that failure to follow employment contract, all or in part, can result in loss of certification

         _______________________                                  ____________________________
Foster Parent Signature                                            Foster Parent Signature
__________________________                           ______________________________
 Date                                                                          Date
                                                                                                                 
        ___________________________                          ______________________________
Social Worker                 Date                                Executive Director                    Date

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1 Depending on the age of the child.