AGENCY SELECTION FORM

 

This Form must be filled out and returned to the following address before beginning PRIDE training.

 

CPS- Recruitment Unit                    P.O. Box 200697          Arlington, Texas 76006

 

[  ]        A World for Children – 972-616-0095

 

[  ]        All Church Home for Children – 817-335-4041 x200

 

[  ]        Angelheart Child Placing Agency – 817-283-2560

 

[  ]        Arrow Project – 817-695-5857

 

[  ]        Azleway Children’s Services – 972-206-2885

 

[  ]        The Bair Foundation – 972-957-0030

 

[  ]        Buckner Adoption and Maternity Services – 214-319-3426

 

[  ]        Buckner Children and Family Services – 214-321-4530

 

[  ]        Child Protective Services – 800-233-3405

 

[  ]        Covenant Kids – 817-516-9100

 

[  ]        Dallas Metrocare Services Treatment Foster Care – 214-333-7020

 

[  ]        The Gladney Center for Adoption – 817-922-6064/ 866-517-0363

 

[  ]        Hope Cottage Pregnancy and Adoption Center – 214-526-8721/ 800-944-4460

 

[  ]        Hope for Tomorrow - 888 644-4673

 

[  ]        Kornerstone – 877-8-HAVENS (877-842-8367)

 

[  ]        Lena Pope Home – 817-255-2628

           

[  ]        Lutheran Social Services – 800-622-6697

 

[  ]        One Church One Child – 866-422-3678

 

[  ]        Pathways Youth & Family Services – 817-391-0772

 

[  ]        Refuge House - 972-478-4393

 

[  ]        Specialized Alternatives for Families and Youth of Texas (SAFY) - 817-640-4650

 

[  ]        Texas MENTOR, Alliance Adolescent and Children’s Services - 817-460-1332

 

[  ]        Youth in View - 214-941-8439 or 866-332-2273

 

 

Agency Preference: ________________________________________ Date: __________________

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Phone (Hm): _________________________   (Wk): _______________________________________

If you have any questions regarding your agency choices, please feel free to call and gather information to help you make a quality decision.

Please understand that each agency has different guidelines and criteria standards which they follow in accepting a family.  This form does not ensure that you meet all requirements of the agency you have chosen.  Each agency reserves the right to accept and deny families at any time during the training and licensing process.