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2. Please fill out this form, and one of our team members will reach out to you soon.
   
   Learn more about fostering and advocating locally and join our effort to help local families.
   
   For anyone interested in fostering, please note, the process includes background checks, fingerprinting, financial statements, training, and a home assessment.
   
   Additionally, if you are interested in helping and advocating locally, but you are not able to foster at this time, please also fill out this form and connect with our team to learn more about making a difference locally.
4. First Name*
5. Last Name*
7. Preferred Phone Number*
8. Email Address*
10. Address1*
12. Address2
14. City*
15. State*
16. Zip*
18. I would like to learn more about...*

    Check all that apply...

    1. The Roanoke County Foster Care Program
    2. Upcoming Information Sessions

    1. Local Advocacy Opportunities
    2. Other
20. If you select Other above, please provide us with a few details about your area of interest.
22. How did you hear about Roanoke County's Foster Care program?*

    Check all that apply...

    1. Social Media
    2. Newspaper
    3. Radio

    1. Other Current Foster Family
    2. Previous Foster Family
    3. Other
24. If you selected Other above, please provide details here.
26. How do you prefer we contact you?*

    1. Phone
    2. Email

    1. Physical Mail / Letter
    2. Text Message
28. If you want us to call you, when is the best time to reach you?*

    Check all that apply...

    1. 9:00 AM - 12 Noon
    2. 12 Noon - 3:00 PM
    3. 3:00 PM - 6:00 PM
    4. Anytime
30. Effective July 1, 2002, HB731 of the 2002 Virginia General Assembly updated the Virginia Freedom of Information Act. Email subscribers receiving information from a public body may, at their request, be exempt from having their email address given out should the email list be requested under the Freedom of Information Act (FOIA). If you would like to be exempted, please call (540) 283-8923.
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32. 1. Receive an email copy of this form.
33. Email address

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34. Submit

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