(To accompany Child Entry Form for photolisting)
Click here to download the PDF Version

INSTRUCTIONS: Complete this form when a child is being photolisted on the MARE website for recruitment purposes. It should be completed with or by the child and submitted with the Child Entry Form.

Workers: Please note that not all questions need to be answered on this form, and anything the child would like to share can be added! This is merely a guide to help get the conversation started and to gather information from the child to be used in the photolisting narrative.

Required Fields - *

Child's Name: *

What I like to be called/Nickname:

Date of Birth: *  (MM/DD/YYYY) format


Worker's Name:
*

Agency:
*

My favorite food is:

My favorite color is:

My favorite animal is:

My favorite toy/game is:

My favorite subject in school is:

My favorite thing to do after school is:

Activities I participate in include: (clubs, sports, youth groups, etc.)

My favorite thing(s) to do on the weekend are

When hanging out with friends, I like to:

Chores and tasks I help with around the house include:

Things that make me laugh include

Holidays I like to celebrate include:

To celebrate them, I like to:

If I could visit one place on earth, it would be:

I want to go there because...

When I’m an adult, I want to be:

If I had three wishes, they would be:

I am most proud of...

The kinds of things I would like to do with my “Forever Family” are:

The most important things I want people to know about me are:

Other information I would like to share: