Connect (Old) - Every Child Douglas

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Tell us about yourself

Name*

First Last

Email*

Phone*

Allow Text Messages*

Yes

Address*

Street Address City State

Zip Code*

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Counties

If you accessed this form to request goods, services, or another tangible need through Every Child's My NeighbOR initiative, please click HERE. If you are looking to connect with Every Child, such as to inquire about volunteering, events, or fostering a specific child, please proceed with completing the form below.

We are excited to learn what you are interested in

I am interested in*

Fostering

Becoming a Certified Respite Provider

Adopting

Volunteering

Other

If other, please specify

Fostering

I am*

Ready Now - to be connected to my local ODHS Child Welfare branch and start the foster certification process

Exploring - want to learn more about foster parenting

Child Specific - caring for a child I know who is in foster care or may be entering foster care

Volunteering

I am*

An individual or family interested in getting involved locally.

Representing an organization or group interested in getting involved locally.

Please enter your group or organization's name:*

No special characters such as , &, ', "

Please select one:*

I know how I want to volunteer.

I'm exploring how to get involved, and would love some help.

Please select one:*

We know how we want to volunteer.

We are exploring ways to get involved, and would love some help.

Please select all that apply:*

Boxes

DHS Support

Foster Parents' Night Out

Donate Items

One-time Projects

Ongoing Opportunities

Working with Kids

Other

If other, please specify*

Just a few more questions so that we can best connect with you

How did you first learn about Every Child?*

ODHS

Friend or Colleague

211

Informational Event

Online Ad

Facebook

Other Nonprofit

Yard Sign

Faith Community

Foster or Resource Family

Foster Plus

News Story

Radio

Instagram

Safe Families

Web Search

Other

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If other, please specify*

Are you associated with an organization, business, or group that connected you to Every Child?*

Yes

If yes, what is the name of your group or organization?*

Are you currently connected with a Faith Community?

Yes

If yes, what is the name of your faith community?*

Last question! Thanks for spending a minute with us and letting us get to know you.

Race + Ethnicity (check all that apply)*

Native American

Asian

Black

Latino

Pacific Islander

White

Prefer Not to Answer

Other

If other, please specify*

Comments

In order to help facilitate the application and certification processes for foster care, respite care and/or adoption, I understand that Every Child, the Oregon Department of Human Services (ODHS), and local partner organizations will exchange, release, review and discuss the information that I provide in this inquiry form and any application and certification data that I have provided or may provide to these organizations. I understand that my personal information will not be disclosed to unauthorized persons, will remain confidential, and will only be used for the purposes described here.*

I have read and understand

Step 1 of 4

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Connect

Tell us about yourself

We are excited to learn what you are interested in

Fostering

Volunteering

Just a few more questions so that we can best connect with you

Last question! Thanks for spending a minute with us and letting us get to know you.

Every Child mobilizes community to uplift children & families impacted by foster care in Oregon.

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