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Foster Parenting Interest

2. Would you like to make a difference in a child’s life? We are actively seeking safe and stable homes that can meet the needs of children in foster care. All of our families are now being dually approved for foster care and adoption.
   
   Requirements include, but are not limited to, a home assessment, background checks, DMV records check, medical exam, tuberculosis screening, financial statement, and 30 hours of PRIDE preservice training. For more information contact us at (540) 283-8850.

4. First Name

5. Last Name

7. Daytime Telephone Number

8. Email Address

10. Address1

12. Address2

14. City

15. State

16. Zip

18. How did you hear about Roanoke County's Foster Care program?

    Check all that apply...

    1. Social Media
    2. Newspaper
    3. Radio

    1. Other Current Foster Family
    2. Previous Foster Family
20. How do you prefer we contact you?

    1. Telephone Number
    2. Email

    1. Letter/Mailing

22. If you want us to call you, when is the best time to reach you?

    Check all that apply...

    1. 9:00 AM - 12 Noon
    2. 12 Noon - 3:00 PM
    3. 3:00 PM - 6:00 PM
    4. Anytime

24. Effective July 1, 2002, HB731 of the 2002 Virginia General Assembly updated the Virginia Freedom of Information Act. Email subscribers receiving information from a public body may, at their request, be exempt from having their email address given out should the email list be requested under the Freedom of Information Act (FOIA). If you would like to be exempted, please call (540) 283-8923.

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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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