Thank you for watching the Homes with Heart Online Information Session

Thank you for watching the Resource Family Approval Orientation

Please follow the following steps to complete the Homes with Heart Online Orientation:
1: Complete the pre-survey below.
2: Watch the Online Orientation video the entire way through.
3: Complete the post-survey and submit to receive credit for the completion of the Online Orientation and receive next steps.
Pre-Orientation Survey

Please select the option that best represents you at this moment

How well do you understand the resource family approval process? *

	1	2	3	4	5

1 is Not at all, 5 is Very Well

How well do you understand the role & expectations of resource parents? *

	1	2	3	4	5

1 is Not at all, 5 is Very Well

How open are you to having a working relationship with the parents of the child(ren) who may be placed in your care? *

	1	2	3	4	5

1 is Not at all, 5 is Very Well

Please watch the video the entire way through and then proceed to complete the contact form and post-orientation survey to receive credit for the completion of the Online Orientation.
RFA Orientation
Note: To watch the video in full screen, click the expand button in the lower right corner of the video, or click YouTube. Return to this screen to proceed.
*

Yes, I completed the RFA Orientation
Name *

First Name Last Name
Name of second participant (if applicable)

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Best Contact Phone Number *

Area Code Phone Number
E-mail *
How did you hear about our agency? *
Please choose one
Please explain further *
Name of referral, event, church or business
Are you going through the RFA process for a specific child? *

Yes No
If Yes, please provide the name of child and county the child is from:
Name of Child:
County:
Please select all that apply *

I am a current resource family or relative home that is completing the RFA conversion process I would like someone from the RFA program to contact me I would like to sign up for the next Resource Family Pre-Service Training
Once you complete our Resource Family Orientation, the next step is to register for pre-service training classes with Kids and Families Together by calling 805-643-1446 X203.
Post-Orientation Survey

Please select the number that best represents you at this moment

How well do you understand the resource family approval process? *

	1	2	3	4	5

1 is Not at all, 5 is Very Well

How well do you understand the role & expectations of resource parents? *

	1	2	3	4	5

1 is Not at all, 5 is Very Well

How open are you to having a working relationship with the parents of the child(ren) who may be placed in your care? *

	1	2	3	4	5

1 is Not at all, 5 is Very Well

Thank you for watching the Resource Family Approval Orientation