Spaulding For Children

Questionnaire

Homestudy

Is foster care through Spaulding for Children right for you?

Please answer the following questions. Once you've completed the questionnaire, click on the submit button below and your information will be emailed to Spaulding for Children.

Note: Prospective families must live in the Greater Houston, Texas, USA area. If you live outside the area please contact you local state Children's Protective Services office.

I am a high school graduate or I have received my GED.
Yes No

I understand that Spaulding for Children finds loving homes for abused and neglected children, including those with physical, mental or emotional disabilities, older children, minority children and sibling groups.
Yes No

I am at least 22 years of age.
Yes No

I live in the eight-county region around Houston, Texas, USA (Harris, Fort Bend, Montgomery, Galveston, Liberty, Chambers, Brazoria, Colorado, Austin, Walker, Matagorda, Waller and Wharton).
Yes No

If married, my spouse and I have been married for at least two years.
Yes No

I am willing to undergo a criminal background check, child abuse check and provide personal references, proof of income, proof of insurance and other required information.
Yes No

Please indicate your ethnicity:

Please indicate your race:

Age of child or children you are interested in:

I am interested in (check all that apply):
Foster Care - providing a temporary safe haven to children.
Foster-to-adopt - providing permanent families to children prior to and beyond the termination of their birth parents' rights.
Life-long family foster care - providing permanent families to children for whom adoption is not the best option.

First Name		Last Name
eMail Address
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Best Time to Call
Street Address		Apt.
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