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Get Foster/adoptive Parent Application - Pitt County Government

Urity #: (Last) Date of Birth: Address Where You Live: Mailing Address if different from above: Phone Numbers: Home: Work: Cell: E-mail address: Please indicate One: Single Date: Married Divorced Widow/Widower Spouse/Partner s Full Name: (First) (Middle) (Maiden) Social Security #: Date of Birth: Did you graduate from high school?: Yes No Did your spouse/partner graduate from high school?: Yes No (Last) If you did not graduate: (see next line) What was the last grade yo.

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