UN:
LN:
SO
Name:
Age:
Occupation:
Disabilities:
Hobbies:
SO
Name:
Age:
Occupation:
Disabilities:
Hobbies:
Current children: (names, ages, disabilities)
Others living with you: (names, ages, disabilities)
Pets:
Housing
Type: (house, apartment, farm, mansion, etc.)
Location: (be as specific as you can)
Land owned:
Bedrooms:
Bathrooms:
Other:
What is/are the household’s religion(s):
What language(s) do household members speak:
Do you travel? If so, how often and where to:
ADOPTION
How many children would you like to adopt: (3 max)
Gender(s):
Age: (Newborn-19)
Nationality:
Languages preference:
Religion preference:
Multiples: (Specify twins, triplets, quads)
Will you accept:
--siblings:
--neighbors:
--friends:
--children with pets (of what kind and gender):
--children with disabilities (of what kind and severity):
--pregnant teen/teen mother:
--baby’s father/teen father:
Will you allow them to stay in contact with non-abusive parents/relatives?