Fillable Court of Justice www.courts.ky.gov Rev. 10-12 Commonwealth of (Administrative Office of the Courts)

Fill Online, Printable, Fillable, Blank Court of Justice www.courts.ky.gov Rev. 10-12 Commonwealth of (Administrative Office of the Courts) Form

Use Fill to complete blank online ADMINISTRATIVE OFFICE OF THE COURTS (KY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Court of Justice www.courts.ky.gov Rev. 10-12 Commonwealth of (Administrative Office of the Courts)

On average this form takes 15 minutes to complete

The Court of Justice www.courts.ky.gov Rev. 10-12 Commonwealth of (Administrative Office of the Courts) form is 2 pages long and contains:

  • 0 signatures
  • 25 check-boxes
  • 47 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Administrative Office of the Courts

BROWSE ADMINISTRATIVE OFFICE OF THE COURTS (KY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
NAME: ________________________________________________________________________
ADDRESS: ______________________________________________ E-MAIL: _____________________________
CITY: __________________________________________ STATE: ___________________ ZIP:______________
WORK : ______________________ HOME: __________________________ CELL: ________________________
DATE OF BIRTH: __________________________ SOCIAL SECURITY#: _______________________________
COUNTY IN WHICH YOU WISH TO SERVE: __________________________________________
CURRENT EMPLOYER: ___________________________ FROM: __________________ TO: _________________
OCCUPATION: _________________________________________________________________
VOLUNTEER EXPERIENCE: ______________________________________________________
The following questions are used to select a local board that is representative of the community. Answering them is optional.
RACE: _____CAUCASIAN ____MALE FAMILY INCOME: ____LESS THAN $25,000
_____ASIAN ____FEMALE ____$25,001-$40,000
_____AFRICAN AMERICAN ____$40,001-$65,000
_____OTHER MARITAL STATUS: ____OVER $65,000
HISPANIC ___YES___NO ____ SINGLE
____ MARRIED
HIGHEST LEVEL OF EDUCATION COMPLETED: _____HIGH SCHOOL
_____BACHELORS DEGREE
_____MASTERS DEGREE
_____DOCTORATE
ARE YOU OR HAVE YOU BEEN A FOSTER PARENT? ____NO ____PRESENTLY AM ____FORMERLY WAS
ARE YOU AN ADOPTIVE PARENT? _____YES ______NO
HAVE YOU EVER BEEN CONVICTED FOR VIOLATION OF ANY LAW (OTHER THAN TRAFFIC OFFENSES) OR
ARE ANY LEGAL CHARGES PENDING AGAINST YOU?(Criminal record checks will be conducted) ___YES ___NO
IF YES, PLEASE LIST THE DATE, OFFENSE, DISPOSITION AND ANY CIRCUMSTANCES? ____________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
HAVE YOU EVER HAD A SUBSTANTIATION OF CHILD ABUSE OR NEGLECT?(Central Registry Checks will be
conducted) ____YES _____NO
IF YES PLESE LIST THE DATE AND CIRCUMSTANCES? ________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
ARE YOU AN EMPLOYEE OF THE CABINET FOR HEALTH AND FAMILY SERVICES (CHFS)? ___YES ___NO
Date Reviewed: _________________
Date CAN Check:________________
Date Record Checked:____________
Date Trained:___________________
Date Appointed:_________________
AOC-CFCRB-8
Rev. 10-12
Page 1 of 2
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KENTUCKY CITIZEN FOSTER CARE
REVIEW BOARD
VOLUNTEER APPLICATION
lex
et
justitia
C
O
M
M
O
N
W
E
A
L
T
H
O
F
K
E
N
T
U
C
K
Y
C
O
U
R
T
O
F
J
U
S
T
I
C
E
EMPLOYEES OF THE CABINET ARE PROHIBITED FROM SERVING ON THE CITIZEN FOSTER CARE REVIEW
BOARDS. LIKEWISE, BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST CANNOT PARTICIPATE IN SUCH
REVIEWS. PLEASE DESCRIBE THE NATURE OF ANY OF YOUR CURRENT OR PREVIOUS CONTACTS WITH CHFS
AND ANY POTENTIAL CONFLICT(S) OF INTEREST?________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
MARK THE DAYS AND TIMES THAT YOU ARE AVAILABLE TO ATTEND REVIEW BOARD MEETINGS.
___ MONDAY ___ MORNING
___ TUESDAY ___ AFTERNOON
___ WEDNESDAY ___ EVENING (AFTER 4:30 P.M.)
___ THURSDAY
___ FRIDAY
WHAT ARE YOUR REASONS FOR WANTING TO SERVE ON THE REVIEW BOARD? _________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
HOW DID YOU HEAR ABOUT THE CITIZEN FOSTER CARE REVIEW BOARD PROGRAM? ____________________
_______________________________________________________________________________________________
ALL VOLUNTEERS MUST COMPLETE AN INITIAL SIX HOUR TRAINING SESSION BEFORE REVIEWING CASES.
PLEASE INDICATE WHICH DATES AND TIMES ARE MOST CONVENIENT FOR YOU.
________________
WEEKDAYS
_______________WEEKENDS
THE CHFS FILE INFORMATION PERTAINING TO CHILDREN IN FOSTER CARE IS CONFIDENTIAL. AS A VOLUNTEER,
YOU ARE REQUIRED TO TAKE AN OATH TO KEEP CONFIDENTIAL THE INFORMATION REVIEWED BY THE BOARD
AND ITS ACTIONS AND RECOMMENDATIONS IN INDIVIDUAL CASES. VIOLATION OF THIS OATH WILL SUBJECT
YOU TO PROSECUTION FOR THE MISDEMEANOR OFFENSE OF OFFICIAL MISCONDUCT OR FELONY OFFENSE
OF MISUSE OF CONFIDENTIAL INFORMATION. AS A VOLUNTEER YOU ARE REQUIRED TO ATTEND THE SIX HOUR
TRAINING SESSION. YOUR SIGNATURE BELOW INDICATES THAT YOU AGREE TO THESE REQUIREMENTS.
________________________________________________
______________________________________
SIGNATURE DATE
Please complete the application and Central Registry Check. Return to:
Citizen Foster Care Review Board Program
Administrative Ofce of the Courts
100 Millcreek Park
Frankfort, KY 40601
AOC-CFCRB-8
Page 2 of 2
Print
Reset Form
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Court of Justice www.courts.ky.gov Rev. 10-12 Commonwealth of (Administrative Office of the Courts)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document