L. READINESS FOR ADOPTIVE/FOSTER PARENTING/PLACEMENT (Describe/discuss each caregiver’s acceptance of removal and placement in out of home care and willingness to support reunification efforts [if applicable], including visitation and contact between the parents, siblings, relatives and others. Identify the strengths of the family to assess whether or not they can provide a secure, safe, nurturing/loving environment for the child. Describe the caregiver’s willingness to accept the child’s potential resistance to placement and any possible behavioral or other challenges. For adoption cases, discuss the family’s willingness to help support and preserve connections significant to the child). M. REFERENCES/VERIFICATIONS AND BACKGROUND SCREENING (Describe/discuss results of criminal, abuse/neglect, delinquency history, local law, NCIC and FDLE checks. Address any placement implications as a result of this information. Also include references received from employers, the school and/or daycare the children in the household attend, neighbors, etc.) Section IV. The purpose of this section is to ensure that the family has (or can access) adequate resources to support their family and any additional children. DETERMINATION OF FINANCIAL SECURITY, RESOURCES AND CHILD-CARE ARRANGEMENTS Caregiver 1 Caregiver 2 Household Name: Name: 1. Current Employer 8. Combined Monthly 2. Employer’s Address Income $ 9. Expenses 3. Length of Current Employment $ Housing 4. Hours and Shifts Worked $ Utilities 5. Gross Salary $ $ $ Transportation weekly biweekly weekly biweekly $ Food/Supplies monthly monthly 6. Medicaid Eligible? $ Medical 7. Additional Support or Income $ $ $ Child Care $ $ $ Social Security Benefits Car Payment
L. READINESS FOR ADOPTIVE/FOSTER PARENTING/PLACEMENT (Describe/discuss each caregiver’s acceptance of removal and placement in out of home care and willingness to support reunification efforts [if applicable], including visitation and contact between the parents, siblings, relatives and others. Identify the strengths of the family to assess whether or not they can provide a secure, safe, nurturing/loving environment for the child. Describe the caregiver’s willingness to accept the child’s potential resistance to placement and any possible behavioral or other challenges. For adoption cases, discuss the family’s willingness to help support and preserve connections significant to the child). M. REFERENCES/VERIFICATIONS AND BACKGROUND SCREENING (Describe/discuss results of criminal, abuse/neglect, delinquency history, local law, NCIC and FDLE checks. Address any placement implications as a result of this information. Also include references received from employers, the school and/or daycare the children in the household attend, neighbors, etc.) Section IV. The purpose of this section is to ensure that the family has (or can access) adequate resources to support their family and any additional children. DETERMINATION OF FINANCIAL SECURITY, RESOURCES AND CHILD-CARE ARRANGEMENTS Caregiver 1 Name: Caregiver 2 Name: Household 1. Current Employer 8. Combined Monthly $ 2. Employer’s Address Income 9. Expenses 3. Length of Current Employment Housing $ 4. Hours and Shifts Worked Utilities $ 5. Gross Salary $ $ Transportation $ weekly biweekly monthly weekly biweekly monthly Food/Supplies $ 6. Medicaid Eligible? Medical $ 7. Additional Support or Income $ $ Child Care $ Social Security Benefits $ $ Car Payment $
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