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Menu
COME
Who We Are
Meet Our Team
Events
Discovering Community
CONNECT
Adult Ministry
Community Women
Community Men
Connect Groups
Classes
CCH Kids
CCH Students
SERVE
FRIENDS Compassion Ministry
World Mission
Community Partners
MY CCH
Give Online
Membership Directory
Leadership Team
Register Now
Request Forms
Building Usage Request Form
Room Set Up Request Form
Event Request Form
Class Proposal Form
WATCH LIVE
(615) 826-0042
Foster/Kinship/Adoptive Parent Survey
Name
(Required)
DOB
(Required)
Spouse's Name (if applicable)
Spouse's DOB (if applicable)
Anniversary (if applicable)
Phone
(Required)
Address
(Required)
Email
(Required)
Preferred form of communication
(Required)
Are you a member at Community Church of Hendersonville?
Yes
No
Are you in a Connect Group at CCH?
Yes
No
If Yes, Leader name:
Children: For each child, please list their first name only, gender, DOB, any special needs you would like us to be aware of, specific triggers (i.e. scents, words, food, etc.) and whether they are biological, foster,guardianship/kinship or adopted (domestic, international, foster, orkinship/guardianship) and their favorite things/activities
Does your family have any food or other severe allergies?
Yes
No
If Yes, specify who and what:
Family Make-Up (select all that apply)
(Required)
Foster Family (active)
Foster Family (on hold)
Kinship Family
Pre-adoptive Family
Post-adoptive Family
Select All
IF FOSTERING/PROVIDING KINSHIP CARE:
How long have you been a foster parent?
County?
Agency?
Respite requirements of your agency?
Yes
No
Do you take sibling sets?
What age is your home open to?
Who is your main support network?
What are some ways respite care would serve your family?
Anything else we should know about your family?
What are some things we can pray for?
Are you willing to mentor another foster family?
Yes
No
Would you like a mentor?
Yes
No
What gaps in resources/support do you experience that the faith community could help fill?
IF PRE-POST-ADOPTIVE:
Type of adoptive(s): Select all that apply
International
Domestic
Foster Care
Guardianship/Kinship
In international, what country?
Date or projected date of completed adoption?
Who is your main support network?
What are some ways respite care would serve your family?
Anything else we should know about your family?
What are some things we can pray for?
Are willing to mentor another adoptive family?
Yes
No
Would you like a mentor?
Yes
No
What gaps in resources/support do you experience that the faith community could help fill?
Please upload a family picture
Max. file size: 50 MB.
NOTE: These will not be used in public without your approval first. We will never post public pictures of foster children.
