So, you're ready to take the next step.

We are DELIGHTED that you are ready to take the next step with our agency! Whether you are wanting to foster, adopt, foster-to-adopt, or enter into a kinship placement, this is where you will begin your journey. If you haven’t already reviewed the basic pre-requisites for becoming a verified foster/adoptive home, please visit our Learn More page to review these requirements. Also, we’d love to visit with you at an Information Meeting, which may help you get a better idea of the best fit for you and your family. You will be embarking on quite a journey and we look forward to partnering with you as we work together to serve abused, neglected and marginalized children.

All the best as you begin your journey!

Michele L. Gorman, Ph. D. | Co-Founder and Executive Director

We are currently in the process of automating our application into a fully digital experience. We appreciate your patience as we continue to improve our processes.

1

Downloads

Please download and complete (1) one copy of each of the forms listed below.

ONLINE FORMS

Please follow the instructions for each of the forms listed below.

BACKGROUND CHECK REQUEST – Complete (1) Request for each caregiver in the home.

2

Downloads

Please download and complete the specified number of forms for each item listed below.

Icon

1 Adult Child Reference

Provide (1) one complete form for each child 18 years and above. Alternatively, provide a detailed narrative regarding the reason(s) you are unable to obtain.

Icon

2 Assessment Packet

Complete all that apply to each individual, plus the combined family portions if applicable.

ONLINE FORMS

Please follow the instructions for each of the forms listed below.

BACKGROUND CHECK REQUEST – Complete (1) Request for each household member age of 18 years and above. *Do not request multiple times for the same individual.*

3

Downloads

Please download and complete (1) one copy of each of the forms listed below.

Icon

1 - Fire Inspection Checklist

To be completed during a home study site visit.

ONLINE FORMS

Please follow the instructions for each of the forms listed below.

4

Downloads

Please download and complete (1) one copy of each of the forms listed below.

Icon

Combined Agreements and Acknowledgements

This file contains multiple policy and acknowledgement documents. Some forms contain lines for only (1) signature. If your home has multiple primary caregivers (for example a husband and wife), please copy the form and include one for each caregiver.

Icon

Foster Parent Agreement

This file is the primary contract between Refuge House and your family.

Icon

Frequent Visitor, Babysitter, Adult Household Member

This form is a checklist to help you know what you need to gather for other adults who have regular contact or supervision of the child(ren) placed in your home.

ONLINE FORMS

Please follow the instructions for each of the forms listed below.

BACKGROUND CHECK REQUEST – Complete (1) Request for every frequent visitor, babysitter, or household member over the age of 14 years. *Do not request multiple times for the same individual.*