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I/we hereby certify that all the information herein is true and complete to the best of my/our knowledge. II/we give permission for a representative of Carolina Adoption Services to contact the references listed above, as well as perform any background checks necessary in the application process herein. In completing this application to Carolina Adoption Services, I/we understand that there is no commitment by the agency to approve my/our home for the placement of a child(ren). We further understand that I/we are not employees of Carolina Adoption Services, but are Independent Contractors responsible for all reports to Federal and State Agencies regarding earnings paid by Carolina Adoption Services. We further understand that, with our permission, the agency will contact officers and agencies, as needed, to collect information related to foster home licensing.