Complete Legal Name
First Name
Last Name
Date of Birth
MM
DD
YYYY
Is the child 14 or older?
If the child is 14 or older, they must consent to the guardianship
Yes - 14 or older
No - not yet 14
Is the child a US citizen?
Yes
No
Address
Gender
Male
Female
Non-binary
Other
What grade is the child in?
Name of the child's current school
How long has the child been in their current school?
Name of the child's previous school
Three Adult Relatives
We'll need the name, address, and phone number for the child's three closest adult relatives (other than their parents). In order, those are: adult siblings, grandparents, then other adult relatives.
Complete Legal Name
Date of Birth
MM
DD
YYYY
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
County of Residence
Forsyth
Fulton
Gwinnett
Dawson
Cherokee
Cobb
Hall
DeKalb
Other
Length of time at current address
Previous addresses in last 5 years
Race
Gender
Male
Female
Non-binary
Other
Place of Birth
Firearms License # and County (if applicable)
Marital Status
Currently Married
Divorced
Never Married
Widowed
Spouse's Date of Birth
MM
DD
YYYY
Have you ever been convicted of felony charges of crimes against a minor?
Yes
No
Do you have any pending charges other than minor traffic offenses?
Yes
No
Relationship to minor
How long have you known the child?
Has a guardian ever been appointed for the child?
Yes
No
Name of Employer
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Industry & Occupation
Length of time at current job
Supervisor's name and phone number
Name, Age, Gender, relationship to guardian of all individuals living in your home
Has anyone in your household ever been convicted of felony charges of crimes against a minor?
Yes
No
Does anyone in household have any pending charges other than minor traffic offenses?
Yes
No
People who can reach you
Provide the names, addresses, phone numbers, and relationships to you of two people who can reach you.
Complete Legal Name
Date of Birth
MM
DD
YYYY
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Have the mother's parental rights been terminated by court order?
Yes
No
Is the mother a US citizen?
Yes
No
Is the mother presently living?
Yes
No
Complete Legal Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
MM
DD
YYYY
Phone
(###)
###
####
Is the father a US citizen?
Yes
No
Have the father's parental rights been terminated by court order?
Yes
No
Is the father presently living?
Yes
No
Was the father married to the mother at any time?
Yes
No
Has the father ever filed to legitimate the child?
Yes
No
Does the father pay court ordered child support?
Yes
No
Does DFCS have an open case for the minor or any of the minor's siblings?
Yes
No
Are there any pending cases you're aware of regarding the minor?
Yes
No
Reason for Guardianship
To the best of your knowledge, has anyone else been nominated as guardian for the child in a legal document signed by either parent?
Yes
No
Does the child own any property of meaningful value?
(If so, we'll also need to have you named conservator, which is done as part of the same filing as the guardianship)
Yes
No
Ready to Submit?
*
Check either box below, then "Submit" when you have completed your questionnaire.