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Registration for Agency Account and/or Affiliate Listing

Partnership opportunities with FPC:

  • Agencies that would like to cover the cost of parents' training have the option of opening an agency account. FPC provides two account options for agencies to choose from: Prepaid and Unlimited. Both account options include access to an online management system, where staff can setup and manage parent training.
    Our agency is interested in an FPC Account, please contact me.*
    Yes     No
  • Agencies willing to accept FPC training toward their parents' annual training requirements may be listed on our affiliate map, at no cost.
    Our agency would like to be listed on the FPC affiliate map.*
    Yes     No

Please fill out this application for Agency Account and/or Affiliate Listing:   (Items marked with * are required.)

Note: If opting in to be listed on the affiliate map, the below information will be shown on your listing.
Agency Name:*
Agency Website:*
Note: if opting in to be listed on the affiliate map, the following information will be used to place your agency in the correct location(s) on the FPC Affiliate Map

State(s) you provide your services in:*

Counties you provide your services in:*

Additional Branch Locations:

Note: if opting in to be listed on the affiliate map, the following contact information will not be shared publically.
Contact Name (first & last name):*
Mailing Address:*
City:*
State/Province/Territory:*
Country:*
Zip/Postal Code:*
Phone:*
Fax:
Email (parent inquiries contact):*
My agency agrees to accept FosterParentCollege.com training towards the annual training requirements for our clients.*
Yes     No
My agency would like to accept referrals.*
Yes     No
Name:*
Title:
Email:*
Date:*
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