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Services
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Family Services
2210 Mt. Carmel Avenue
Glendside PA 19038
215-887-6300
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Family Services
Foster Family Inquiry Form
Services provided in Bucks, Delaware, Montgomery, and Philadelphia Counties.
Thank you for your interest in foster care. You will
receive a call from Delta within 24 hours or by the next business day.
| Your Full Name |
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| Street Address 1 |
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| Street Address 2 |
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| City |
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| Phone |
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| Email |
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| County |
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| Select area of interest. You may select more than one. |
| Foster Care |
Adoption |
| Respite |
Undecided |
| Are you willing to participate in orientation? |
| Yes No |
| How many people live in your household?
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| Please tell us the ages and relationships of those living in your household: |
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| Are all the members of your household free from communicable diseases, including, but not limited to, Hepatitis A, B, or C, Aids, and tuberculosis? |
| Yes No |
| Are you willing to attend in-service training prior to approval? |
| Yes No |
| Have you ever worked with another foster care agency? |
| Yes No |
| If yes, what is the name of the other agency, and how were you associated? |
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| Are you currently providing foster care in your home? |
| Yes No |
| Do you have reliable transportation? |
| Yes No |
| If you drive, do you have a valid driver’s license and insurance? |
| Yes No |
| How did you hear about our program? |
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| If you heard about us from a Delta representative or foster family, please tell us who: |
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