NOTE:  SUMMIT COUNTY CHILDREN SERVICES ONLY LICENSES FOSTER-TO-ADOPT HOMES IN THE FOLLOWING COUNTIES IN THE STATE OF OHIO:  
SUMMIT, CUYAHOGA, GEAUGA, MEDINA, PORTAGE, STARK AND WAYNE.  

IF YOU DO NOT LIVE IN ONE OF THESE OHIO COUNTIES, PLEASE CONTACT THE CHILDREN SERVICES AGENCY WITHIN THE COUNTY/STATE YOU LIVE.

Foster Care & Adoption Inquiry Form

    Inquiring About: Foster to AdoptFoster Care
    Parent #1 First & Last Name:*
    First Name
    Last Name
    Parent #1 Current Kinship Caregiver: YesNo
    Parent #1 If you are a current Kinship Caregiver, is the child placed in your home: YesNo

    Parent #2 First & Last Name:
    First Name
    Last Name
    Parent #2 Current Kinship Caregiver: YesNo
    Parent #2 If you are a current Kinship Caregiver, is the child placed in your home: YesNo

    Home Address*:
    State*
    Register for the next information meeting? YesNo
    Register for pre-service training? YesNo
    Send a Foster Care & Adoption information packet? YesNo
    Speak to someone about foster care and adoption? YesNo
    *If yes, a staff member will call you the next business day.
    I currently have a child(ren) living in my home as a relative/kinship placement? YesNo
    How did you learn about foster care and adoption with SCCS? Check all that apply. BillboardChurchCommunity EventDirect MailingFosterware PartyFriendHeart GalleryInternet/Agency WebsiteKinshipNewspaperOther AgencyOther Foster Parent/Adoptive ParentPamphletsRecruitment EventRadioSCCS YouTube VideoTelevisionTransit/BusSCCS EmployeeSocial Media