Main Number: 330.379.9094

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Summit County Children Services
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    • Mission, Vision & Values
    • Board of Trustees
      • Board Resolutions & Minutes
    • Executive Team
    • Citizen's Advisory Committee
    • Women's Auxiliary Board
    • History
  • Child Services
    • Mandated Reporters
      • Medical Professionals
      • Educators & Clergy
      • Child Maltreatment Definitions
    • Intake
      • Safe Haven For Newborns
    • Protective Services
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      • Kinship Care FAQ
      • Kinship Care Navigator Services
      • Kinship Care Permanency Incentive
      • Kinship Care Resources
      • Kinship Care Legal
      • Kinship Care Where to Obtain Vital Records
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      • Foster Care & Adoption Inquiry Form
      • Foster Care & Adoption FAQs
      • Process to Become a Foster Parent
      • Foster Care & Adoption Information Meetings
    • Independent Living Services
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      • Post-Adoption Services
      • PASSS
    • Waiting Child Profiles
    • Social Service Programs
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      • Child Abuse Prevention Month
        • Wear Blue
        • Close-Up on the Digital Well-Being of Families
        • SCCS Appreciation Breakfast
      • Speaker's Bureau
      • Mandated Reporter Training
      • Child & Family Leadership Exchange
    • Donate/ Volunteer
      • Beds for Kids
      • Donate Now
    • Calendar
  • Resources
    • Caregiver Resources
      • Medical and Dental Information
      • Pre-service Training and Ongoing Training
      • Foster Parent Homework-Resources
      • Foster Parent Forms
      • Assessor Forms
      • Resources for Young Adults
      • Placement and Protective Specialized Services Staff Contact List
      • Foster Parent Policies and Procedures
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    • Blog
    • FAQ
    • NEORTC Training Materials
    • Public Records
    • Office of Client Rights
  • News Center
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Assessor Forms

Resources / Caregiver Resources / Assessor Forms

Below is a list of forms that may be needed by Adoption Workers in the field.

Applicant Financial Statement - PDF

Autobiography - PDF

Background Check - PDF

Caregiver Agreement for Discipline - PDF

Child Characteristic Checklist - PDF

Emergency Telephone numbers - PDF

Foster/Adoptive Family Agreement - PDF

Medical Statement for Foster Care and Adoptive Applicant - PDF

Reference Personal Questionaire - PDF

Adult Child Reference - PDF

Policy and procedure Acknowledgement - PDF

Release of Information - PDF

Reference Employer Form - PDF

Reference School Form - PDF

Safety Audit - PDF

Substitute W-9 Form for CSB Parents - PDF

Volunteer Reference - PDF


Support our Mission

Learn how you can help advance the mission of Summit County Children Services:

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Foster or Adopt

With nearly 800 children in our custody, SCCS relies on the selflessness of our community to foster or adopt children in need.

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Volunteer or Donate

We have year-round activities the success of which is dependent on the generosity of our community.

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Diversity, Equity and Inclusion

Get the latest information about SCCS activities toward Diversity, Equity, and Inclusion.

Subscribe to SCCS Publications
24 HOUR ABUSE AND NEGLECT
HOTLINE
(330) 434-KIDS (5437)
CONTACT US

Summit County Children Services

264 S. Arlington St.
Akron, OH 44306
Phone: 330.379.9094
Fax: 330.379.1901
Hearing Impaired: ORS 7-1-1

          

Success Story

Oxley Family

 

Jefferson Family

Upcoming Events


  • Virtual Foster Care Information Meeting via Zoom Meeting Thursday, 18 August 2022 - Join us for this Foster Care & Adoption Information Meeting via Zoom Meeting where you can learn more about foster care and adoption with SCCS, the process involved, about the children who enter agency custody. etc. Advance registration is required - CLICK ...
  • Board of Trustees Committee & Meeting Tuesday, 23 August 2022 - Resources Committee Meeting - 3:30 p.m. Board Meeting - 4:30 p.m. Summit County Children Services 264 S. Arlington Street, Akron  44306 All meetings are open to the public.  Park ...
  • September is Kinship Month! Thursday, 01 September 2022 - Let us celebrate and honor kinship caregivers every where! ...

Annual Report

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