Please fill out the form below to receive an information guide. By filling out this form, you are simply requesting more information.

If you would like to speak with someone on the phone, please call 304-562-0723. Thank you!

Parent 1 Name

First Name

Last Name

Parent 2 Name (optional)

First Name

Last Name

Mailing Address

City

State

Zip

County

Phone

(###)

###

####

How did you hear about us?

Please choose an option from the list below.

What are you interested in?

Please choose an option from the list below.

An information packet will be emailed to you.

I prefer a mailed packet.

Would you like a phone call for more information?

Yes

Are you inquiring about a child known to you?

Comments or Questions:

Have a stable and secure income
Have stable family relationships- you can be single, married, same sex couple, divorced or cohabitating
Be physically and mentally healthy
Have adequate space in your home (you may rent or own)
Have no child OR adult substantiated abuse/neglect findings or criminal convictions

Learn more about foster care