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To become an Affiliate of FosterParentCollege.com®, complete this form and click the submit button below. Affiliates accept FPC training from their clients.

Or print and send the PDF application: Affilliate PDF application formDownload PDF.
Please fill out all fields on this application:
Agency Name (to be listed):
Name (for public contact):
Title:
Mailing Address:
City:
 State:
 Zip:
Phone:
 Fax:
Email:
Website Address:
Counties you provide your services in (please attach if needed):
Additional Branch Locations:
Total number of annual certified training hours required by your agency
Number of hours allowed by your agency through online training.
Monthly Newsletters
E-newsletters should be emailed the following address(es) (for more than 3 please attach):

Name:
Email:
Name:
Email:
Name:
Email:
Weblinks
If you would like to provide a link to FosterParentCollege.com from your site:

Webmaster Name:
Webmaster Phone:
Webmaster Email:
My agency agrees to accept FosterParentCollege.comŽ training
towards the annual training requirements for our clients.
Signature:
Title:
Printed Name:
Date:
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