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Note: Family status must be consistent for two years prior to applying to become a resource parent with COBYS. Please reach out to your resource home specialist or email careforkids@cobys.org, and do not proceed with this application if your family status has changed in the last two years.

Note: For the remainder of this form, please pay attention to who is Applicant 1 and Applicant 2.

List all of your previous addresses from the past ten years: address, county, dates of residence and who resided at that address.

Please provide the following information for each child.

Please provide the following information for each additional household member.

Descriptions of the different types of foster care COBYS Resource Families provide.

*Note: If yes, you will be required to provide details for each charge as part of the approval process.

*Note: If yes, you will be required to provide details regarding this situation as part of the approval process.

*Note: If yes, you will be required to provide details for each charge as part of the approval process.

*Note: If yes, you will be required to provide details regarding this situation as part of the approval process.

Include agencies that you have applied to and whether or not you were approved. Provide the following information for each agency.

Prior to submitting this application, please review the COBYS Family Services Notice of Privacy Practices posted on the COBYS website.