5th Annual For the Children FKCE Conference-"Celebrating Resilience and Hope" / 5to Anual Para los niños FKCE conferencia- "Celebrando la Resiliencia y la Esperanza" May 2nd, 2025, 2 de Mayo de 2025

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First and Last Name/ Nombre y Apellido *

Email/ Coreo Electronico *

Phone Number/ Numero de telefono *

Participant Category: Please place a check by the group you represent/ Categoría de participante: marque el grupo que representa: *

Approved Resource Parent ( Converted Foster Parent to RFA)/ Padre aprobado de recurso (padre de recurso ( padre de crianza) convertido a RFA)

Resource Family Applicant ( Applying to be a resource parent)/ Solicitante de la Familia de Recursos (Solicitud para ser un padre de recursos)

Licensed Foster/Adoptive Parents ( Not converted to RFA)/ Padres de crianza / adoptivos con licencia (no convertidos a RFA)

Foster Family Agency Staff/ Personal de la Agencia de Crianza Familiar

Informal Relative/Kinship Care Provider/Non-Related, Extended Family Member/ Familiar informal / proveedor de cuidado familiar / familiar no relacionado, miembro de la familia extendidaion 5

Short Term Residential Therapeutic Program Staff ( Previously Group Home)/ Personal del Programa Terapéutico Residencial a Corto Plazo (Previamente Grupo Hogar)

County Social Services Staff/ Personal de servicios sociales del condado

County Probation Staff/ Personal del condado de Libertad condicional

Adoptive Parent

Tribally Approved Home

Other/ Otro

Other:

Other: Please specify category/ Otra: por favor especifique la categoría

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