Inquiry Form - GA Division of Family and Children Services

Primary Caregiver Name*

Primary Caregiver First Name Primary Caregiver Last Name

Primary Language

Secondary Caregiver Name

Secondary Caregiver First Name Secondary Caregiver Last Name

Primary Language

Relation to Primary Caregiver

Physical Address*

Street Address Address Line 2 City State ZIP Code

County*

Phone*

Primary Email*

Enter Email Confirm Email

*If you do not have an e-mail address, please contact the Foster Georgia Inquiry Hotline at 1-877-423-4746 option 6*

How did you hear about us?*

Child Specific Interest

If you saw a child on Wednesday's Child or It's My Turn Now Georgia, please enter the child(ren)'s name and/or identification number.

High School Website

If you saw an ad or banner on your local high school website, please let us know which high school.

How long have you considered Fostering or Adopting?

Please select what best represents your current area of interest:*

Age Range of Interest

Enter the minimum and maximum age range of the child or children you are interested in. For example, 7-15.

Have you fostered or adopted previously?

Kinship Questions

Is the child in the custody of the State of Georgia?

Other-Indicate the state if it's not Georgia

If the child is in the custody in Georgia, which county?

Have you had contact with the child's case manager?

Name

This field is for validation purposes and should be left unchanged.