State of Tennessee

Mutual Assessment Process (MAP) Questionnaire

DO NOT BEGIN THIS QUESTIONNAIRE UNTIL YOU HAVE COMPLETED THE FINAL MODULE OF TN KEY.
Traditional parents: REROUTING TRAUMA BEHAVIORS
Kinship parents: ROADMAP TO RESILIENCE AND REROUTING TRAUMA BEHAVIORS

This form contains information regarding questions you will need to answer for your trainer during the final step of foster parent pre-service training.

Each applicant will need to answer these questions individually and submit a separate form.

These questions will allow the MAP Meeting to flow more quickly and efficiently. Be as honest and thoughtful as possible when answering.

Agency*

Other Agency*

TN KEY Group Number*

TN KEY Trainer*

Other Trainer*

Parent Information

Applicant Name*

First Name

Last Name

For the address line below, enter street address followed by apartment or unit number if applicable.

Address*

Address Line 1

City

State

ZIP Code

County*

Email*

Confirm Email *

Phone*

Additional Phone

Occupation*

Employer*

Household Information

Number of Household Members*

Marital Status*

Single Married Divorced Widowed

Date of Marriage/Divorce*

Names and Ages of Children in Home

Home Type (check all that apply)*

Kinship Traditional ICPC

If KInship, please explain the connection to the child(ren) in care:

Questions

If you are unable to complete this form in a single sitting, you can save your responses and return to the form later by clicking the Save and Resume Later link at the bottom of the form section.

What is your motivation for attending foster parent pre-service classes?*

How do you feel about becoming a foster parent?*

What are your thoughts on reunification with the birth family? How do you feel these thoughts will change the longer a child is placed in your home?*

What did you learn about culture, MEPA, and IEPA?*

How will you honor and incorporate a child's culture into your home?*

How do you feel children who have experienced trauma will impact your home and family?*

Describe how children in the child welfare system may experience grief, separation, or loss.*

How will you help a child grieve their losses after they are placed in your home?*

What strategies will you use to help you and your family cope when a child is moved from your home?*

Explain why it is important for children to keep previous attachments as well as form new ones.*

Explain why traditional discipline methods will not be effective with foster children.*

What discipline techniques would you use for foster children as well as birth children in your home?*

What impact will the DCS discipline policy have on children currently in your home?*

What are trauma behaviors and why is it important to identify the underlying need in the behavior?*

Are there any trauma behaviors you would find difficult to parent? How will you address those behaviors if they arise?*

How do you feel children from the child welfare system will impact your family?*

What have you learned about yourself through the pre-service process? Self-assess and be introspective and honest. What have you added to your suitcase and what have you removed in order to make connections with foster children?*

Rate your ability to share parenting with DCS and birth families.*

Rate your ability to support reunification.*

Rate your ability to comply with the discipline policy.*

Please record any questions that may have arisen while completing the MAP self-assessment questionnaire to discuss with your trainer.

Progress

Mutual Assessment Process (MAP) Questionnaire

Parent Information

Household Information

Questions

TFACTS Financial Enhancement-Foster Parent Portal Verification