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Family Home Provider Interest Assessment

Thank you for your interest in Community Options Integrated Services, Inc. (COIS). Before moving forward, we want to be sure you understand the responsibilities of the Family Home Provider/Adult Foster Care position.

We are looking to meet individuals and families who are interested in opening their private home/residence to support a person with a developmental/intellectual disability.

Your completion of this form will help us identify your understanding and readiness to become a certified adult foster provider with Community Options Integrated Services, Inc. Please answer all questions honestly and to the best of your ability.