LIllinois Foster/Adoptive Parent Association Membership Application
Please Print or Type.  Return to ILFAPA, PO Box 729, Mundelein, IL  60060.
Type of Application:  □ New □ Returning  
Illinois Foster/Adoptive Parent Association Membership (check as many as apply):
□ Foster □ Adoptive □ Guardianship □ Kinship Type of Children Currently In Home:
(Check all that apply) __ Foster __ Adoptive __Biological _ Guardianship  
Name: ____________________________________ __________________________________________
​Address: __________________________________ __________________________________________
City: ______________________________________    State: ____Zip: _______County:  _________ 
E-mail:____________________________________ __________________________________________
​Phone:  (        ) __________ -- _________________   
Agency: ____________________________________________ __________________________
Office Only: Date Received:  __________   _______________
​ __________               
If you have any questions please contact: Arrelda Hall-Johnson
​Membership Director at Arrelda.hall-johnson@illinois.gov

Membership Application