Home Studies Services

Home Study Inquiry Form

YesNo Are you at least 21 years of age?

YesNo Are you a Kentucky resident?

YesNo Do you have a valid Commonwealth of Kentucky Driver's License?

YesNo Do you have reliable transportation and automobile insurance?

YesNo Are you mentally and physically able to care for a child/children?

YesNo Do you own or rent a home that is safe and free from hazards?

YesNo Do you have space for a child or an additional child in your home?

YesNo Are you willing to complete criminal background and child abuse checks?

YesNo Are you married?

YesNo If you are married, have you been continuously married to, and living as a family with your current spouse for a minimum of one year? Co-habitating couples are not permitted.

YesNo I acknowledge that I have read and have not been convicted of any of the crimes listed on the KRS reference sheet. Please Note: If any of these statues are found to be true you forego your initial Home Study application fee.

Your Full Name (required)

Home Address (required)

City (required)

State (required)

Zip Code (required)


Home Phone Number (required)

Work Phone Number

Your Email (required)

How did you hear about us? (required)

Your Message