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In order to best protect confidential and other important data, the ODJFS website will no longer support several outdated web browsers. Effective December 5, Internet Explorer 6 or older, Opera 4 or older and Netscape Navigator will no longer work on ODJFS sites that are https-enabled. Individuals can download the most recent version of Internet Explorer here and the most recent version of Opera here.
Certification Survey
Topics
In order to best protect confidential and other important data, the ODJFS website will no longer support several outdated web browsers. Effective December 5, Internet Explorer 6 or older, Opera 4 or older and Netscape Navigator will no longer work on ODJFS sites that are https-enabled. Individuals can download the most recent version of Internet Explorer here and the most recent version of Opera here.

 

If you are currently performing any of the functions that require certification, please submit your information electronically by filling out the form fields and clicking the submit button below. If you are not currently performing any of the functions that require certification, you may submit your information when you are ready to begin the certification process.

1. Name, Email, phone number and mailing address of inquirer:

   

 

 2. Name and credentials of the person who will be the agency’s administrator, if known at this time. Please include verification that the person possesses at least a bachelor's degree from a college or university accredited by a nationally recognized accrediting organization:


3. Name and address of the agency and county where the agency will be located:


4. Proposed purpose and function of the agency:


5. Type of program to be certified (e.g. residential, foster care, adoption, independent living, group home):


6. Specific services to be provided:


7. Proposed staffing plan:


8. Current sources of funding and plan for ongoing funding:


9. Anticipated sources from which children will be referred: