Adoption Application
First Name*
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Last Name*
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Spouse's First Name
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Spouse's Last Name
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Street Address (include apt/unit #)
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City
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State
Select AK AL AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Invalid Input
Zip
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Email Address*
Home Phone
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Your Cell Phone
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Spouse's Cell Phone
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Best Time to Reach You
Select Morning Afternoon Evening Invalid Input
How did you hear of Angel Adoption?
Select Internet Search Friends / Family Other Invalid Input
When will you be ready to start the adoption process?
Select Today 3-6 Months 6 Months - 1 Year More than a year Invalid Input
Gender of child you wish to adopt:
Select Girl Boy We have no preference Invalid Input
Race of child you wish to adopt:
Caucasian African-American Hispanic Asian Native American Father Race Unknown African-American/Hispanic Hispanic/Caucasian Hispanic/Other Asian/Caucasian Other No Preference Invalid Input
Employment Information
Your Occupation
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Spouse's Occupation
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General Descriptions
Your Date of Birth
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Applicants must be 25 years of age
Your Race
Select African American Asian Caucasian Hispanic Latino Native American Invalid Input
Your Hobbies, Talents and Interests
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Your Community Service/Activities
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Your Religion
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Spouse's Date of Birth
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Applicants must be 25 years of age
Spouse's Race:
Select African American Asian Caucasian Hispanic Latino Native American Invalid Input
Spouse's Hobbies, Talents and Interests
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Spouse's Community Service/Activities
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Spouse's Religion
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Marital History
Date of Marriage
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Education
Your Year Graduated
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Your Highest Level Attained
Select High School Not Graduated High School Graduated / GED Some College Credit Hours Associates Degree Professional / Vocational Bachelors Degree Masters Degree Doctoral Degree Postdoctoral None Invalid Input
Spouse's Year Graduated
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Spouse's Highest Level Attained
Select High School Not Graduated High School Graduated / GED Some College Credit Hours Associates Degree Professional / Vocational Bachelors Degree Masters Degree Doctoral Degree Postdoctoral None Invalid Input
Financial Summary
(Remains confidential)
Household Income
Select Less than $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 - $150,000 $150,000+ Invalid Input
Do you Own or Rent?
Select Own Rent Invalid Input
Children
(Please enter the age of your children and indicate if the child is adopted or biological)
Child 1 Age
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Child 1 Gender
Select Boy Girl Invalid Input
Adopted or Biological
Select Biological Adopted Invalid Input
Child 2 Age
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Child 2 Gender
Select Boy Girl Invalid Input
Adopted or Biological
Select Biological Adopted Invalid Input
Child 3 Age
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Child 3 Gender
Select Boy Girl Invalid Input
Adopted or Biological
Select Biological Adopted Invalid Input
Child 4 Age
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Child 4 Gender
Select Boy Girl Invalid Input
Adopted or Biological
Select Biological Adopted Invalid Input
Personal History
Declared Bankruptcy?
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Been under psychiatric care?
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Dishonorable discharge from the military?
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Been arrested?
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Placed a child for adoption?
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Past due on court ordered child support?
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If you check any of the boxes above, please explain:
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Please describe briefly your reasons for wanting to adopt?
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Lifestyle Information
Please describe your home and neighborhood:
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What do you enjoy doing together & individually:
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Please briefly describe how you think your life will change after the adoption?
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Home Study
Do you have a completed home study?
Select Yes No Invalid Input
If Yes, completed by:
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Are you signed up with any other adoption consultants, organizations, or agencies?
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If Yes please list their names and phone numbers:
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Complete & Submit
Enter the Verification Code below:*
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Upload your Photo:
No file selected.
Yes, please add me to your newsletter list.
Yes, please add me to your newsletter list. Invalid Input
This is an application, not a contract. There is no obligation by either party. Vital statistics are confidential and are not shared with birthparents. Your information is submitted via a secure server for additional security. By submitting this application you admit that your answers are true and correct. For more information, please read our privacy statement.
Please note: We will contact you within 72 hours of receipt of your complete application. Contact will be made by email or phone.
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