Foster /Adopt Inquiry for Eastern Ontario, Canada

For further information, please complete the following fields (form) which will be forwarded to your local agency and a representative will contact you directly.

If you live in Eastern Ontario please fill out this inquiry and click the SUBMIT button at the bottom of the page.

All fields marked by the (*) must be filled out.

We will contact you within one working week of receiving your form.

Before beginning the application form, please identify which Eastern Ontario CAS community you live in by using the pull-down menu provided:

Are you interested in:
Adoption Fostering
(Please check one or both)

CONTACT INFORMATION

Your Name
(Surname/First name):*

Title:

Mrs. Mr. Ms. Miss.

   

Home Address-No. Street:*

City:

Postal Code:

Province:

Home or work telephone number,
including area code:*

 - -

Email Address:
   

Language Spoken in Home:*

Other languages:

Currently Practicing Faith?

Yes No

Have you ever received services
from child welfare?:

Yes No

Have you ever applied to
adopt or foster before?:

Yes No

   

FOSTERING/ADOPTION INFORMATION

 

Child Desired:

Male Female Either

Ages From:

to

Are you inquiring regarding (a) specific child(ren)? Yes No

Child's Name:

  
 
 
 

If this child(ren) is not available are you interested in fostering or adopting other children? Yes No

CERTIFICATION

I/We declare:

  1. That the information contained in this inquiry is complete and true to the best of my/our knowledge and that a false statement may disqualify my/our inquiry from further consideration.

For more information contact your local CAS.
Click on the map to select your region

 

 

Privacy | Disclaimer
W3C CSS | WC3 XHTML

Site By Mediaforce.ca

 
Copyright © 2006.