Guardianship Petition Application (Page 3 of 6) in pdf

Guardianship Petition Application Page 3

B. PROPOSED GUARDIAN INFORMATION

1. Proposed Guardian’s Full Name ___________________________________________________

Street Address____________________________________________City__________________

State______________________County________________________Zip Code______________

U.S. Citizen _____ _____If no, what Country________________________________________

YES

Place of Employment____________________________________________________________

Supervisor’s Name ______________________________________________________________

Home Phone ________________________________Work Phone_________________________

Birth Date _________________________________Place of Birth_________________________

Marital Status ______________________________Race________________________________

Social Security Number_________________________________

2. Spouse’s Full Name _____________________________________________________________

Street Address__________________________________________City____________________

State___________________________County_________________Zip Code________________

U.S. Citizen _____ _____ If no, what Country_______________________________________

Yes

Place of Employment____________________________________________________________

Supervisor’s Name______________________________________________________________

Home Phone_________________________________Work Phone________________________

Birth Date ___________________________________Place of Birth______________________

Marital Status_________________________________Race_____________________________

Social Security Number___________________________________

3. Relationship (if any) to child_____________________________________________________

____________________________________________________________________________

Guardianship Petition Application Page 3