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
I'm interested in a specific child
*If you are interested in a specific child or sibling group, please provide their name(s):
Do you currently have a home study?*
Yes
No
Your Name (first and last)*
If applicable: Spouse/partner's name (first and last)
Mailing Address*
Street Address (if different mailing 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!
ACCS Facebook page
ACCS e-mail newsletter
Radio
Newspaper
Television
ACCS Website
Billboard
Flyer/Poster
Pamphlet/brochure
Church
Fair/festival booth
Direct Mailing
Phone book
ACCS Employee
Other foster/adoptive parents
Friend
Other (please specify)
Children Waiting Chris

Chris

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