Foster/Adopt Inquiry Form


Please note: We encourage you to contact a public/private agency within your area for more information on the foster care and adoption process, including information on obtaining a home study. We are not able to license outside of the State of Ohio.

Foster/Adopt Inquiry Form
Items marked with an (*) are mandatory. Thank you for your interest in foster care and adoption, we look forward to hearing from you!
What would you like information on?*
Foster Care
Foster-to-Adopt
Adoption
Your Name (first and last)*
If applicable: Spouse/partner's name (first and last)
Street Address*
City*
State*
ZIP Code*
What school district do you live in?
Primary Phone (area code first)*
Secondary phone (area code first)*
E-mail Address
What age groups of children are you interested in fostering/adopting?
I have no preference / Birth to 18
Birth to 5
6 to 12
13 to 18
Where did you hear about ACCS's Foster/Adoption programs? Check all that apply!
Radio
Newspaper
Television
Website
Billboard
Flyer/Poster
Pamphlet/brochure
Church
Fair/festival booth
Direct Mailing
Phonebook
ACCS Employee
Other foster/adoptive parents
Friend
Other (please specify)
(Optional) May we know your race/ethnicity? We collect this information only for statistical purposes as required by state and federal regulations.
Children Waiting Josh

Josh

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