Foster Care & Adoption Pre-Application for Training

Thank you for contacting UMCH Family Services (UMCH) to learn more about Foster Care & Adoption – how you can make a difference in the lives of children and families in need. Being a foster and or an adoptive family is challenging, yet very rewarding work. Please complete and return this pre-application in order to register for training and begin the approval process.

 

Click to learn more about Treatment Foster Care

Click to learn more about Adoption

My primary interest is (choose one)(Required)
Applicant 1 Name(Required)
Applicant 2 Name (if applicable)
Address(Required)
Are you now, or have you ever been licensed to foster or adopt children by the state of Ohio, or any other state?(Required)
Date, State, Agency
If yes, do you have any placements at this time?
Are you now, or have you ever been involved with a foster care or adoptive agency in any capacity?(Required)
Please list the name, gender, age, and relationship to applicant(s) of all occupants of your home. Include all adults and children.
Name
Gender
Age
Relationship
 
Has the applicant(s) or anyone else residing in the home ever been arrested or have any criminal history or record?(Required)
Note: this will not automatically disqualify your application, but it will require a special conference to ensure eligibility. If your background includes a felony conviction that has not been expunged, the law requires a wait of ten years before your application can be considered.
Has the applicant(s) or anyone else residing in the home ever been accused of child abuse or neglect, or had any involvement with Children’s Services?(Required)
Note: this will not automatically disqualify your application, but it will require a special conference to ensure eligibility.
Applicant Number 1(Required)
Occupation
Date of Birth
Employer & Work Address
Work Phone
 
Applicant Number 2
Occupation
Date of Birth
Employer & Work Address
Work Phone
 
Agreement(Required)
Will you be attending the next pre-service training classes?(Required)