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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.
   
   For anyone interested in fostering, 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.
   
   Also, if you are interested in helping and advocating locally without fostering, please also fill out this form to learn more about local areas of need and volunteer opportunities.

4. First Name*

5. Last Name*

7. Daytime Telephone Number*

8. Email Address*

10. Address1*

12. Address2

14. City*

15. State*

16. Zip*

18. I would like to learn more about...*

    Check all that apply...

    1. The Roanoke County Foster Care Program
    2. Volunteer Opportunities
    3. Trauma Informed Resources
    4. How to Support Foster Families Locally

    1. How to Support Teens in Foster Care Locally
    2. How to Support Biological Family Locally
    3. Other
20. If you select Other above, please provide us with a few details about your area of interest.

22. 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
    3. Other
24. If you selected Other above, please provide details here.

26. How do you prefer we contact you?*

    1. Telephone Number
    2. Email

    1. Letter/Mailing
    2. Text

28. 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
30. 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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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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