HOST HOME PROVIDERS (Adult Foster Care)

This is a great opportunity for an adult community member to provide adult foster care services and support to individuals who desire to live in a family-like environment. The program allows for individuals from the community to accept 1 - 3 adults into their homes and provide residential services to them.  A daily reimbursement rate per individual is paid to the provider for services. Current Host Home Providers are paid a monthly rate between $1,518.00 to $3,300.00 (depending on support level and the number of days in the month. Range of support may vary by individuals needs).

Host Home Provider Application and Profile

Located in La Junta, Colorado

 

Top Ten Reasons to Become a Host Home Provider:

HostHome

  1. Make a positive difference in someone's life
  2. Supplement your income
  3. Gain a fun and delightful live-in companion
  4. Supported by a team of dedicated staff
  5. Develop a life-long, rewarding relationship
  6. 24-hour support for health services
  7. Help others grow and discover their talents
  8. Personal satisfaction of fulfilling dreams
  9. Service contracted on a yearly basis
  10. Great opportunity to learn new skills

 

This arrangement is bound by an independent contractor relationship between the community member and InspirationField in compliance with all Division of Developmental Disabilities rules and regulations. The provider must meet all state and agency certification requirements. The range of care may vary from a moderate level of care to total care.

  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • House
  • Apartment
  • Townhouse/Condo
  • Mobile Home
  • Ranch
  • Single-Story
  • Two-Story
  • Tri-Level
  • Yes
  • No
  • Yes
  • No
  • Under 21
  • 21-30
  • 30-50
  • Over 50
  • No Preference
  • Male
  • Female
  • No Preference
  • One Person
  • Two Persons
  • Three Persons
  • No Preference
  • Smokes
  • Has special diet needs or feeding/swallowing difficulties
  • Uses a cane/walker/wheelchair
  • Is unemployed or no longer working
  • Has difficulty with stairs
  • Has special behavioral needs or concerns
  • Is non-verbal
  • Is visually impaired
  • Is hearing impaired
  • Has special medical needs/concerns or needs special equipment
  • Uses adult depends
  • Uses sign language or needs communication device
  • Yes
  • No
  • Movies/TV/VCR
  • Theater
  • Concerts
  • Travel
  • Shopping
  • Music
  • Reading
  • Crafts
  • Sports
  • Restaurant
  • Hiking
  • Bingo
  • Jogging/Walking
  • Camping
  • Car Rides
  • Swimming
  • Photography
  • Fishing
  • Gardening
  • Card Games
  • Church
  • Sewing
  • Bowling
  • Meetings & Clubs
This application form is intended for use in evaluating your qualifications to be an Independent Host Home Provider. This is not an employment contract. Please answer all questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the inquiry process or, if discovered after executing a contract, terminating that contract. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap, or the presence of disabilities. A felony conviction will not necessarily bar an applicant from consideration. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to execution of a contract.
I certify that I have read and understand the applicant note above and that the answers given by me to the foregoing questions and to the statements made by me are complete and true to the best to my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejections of my application or termination of contract at any time during the terms of the contract. I authorize the company and / or its agents including individual reporting bureaus, to verify any of this information. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said person, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during the contract period.