Adoption Inquiry Form for International Adoptions and Domestic Adoptions
To request more information on international adoptions and domestic adoptions or to get matched with the right adoption agency for you, complete and submit the adoption inquiry form. After submitting the adoption inquiry form, an adoption specialist will contact you to answer all of your adoption questions and match you with the best adoption agency for you.
Last Name
Required
First Name
Required
Middle Name
Birth Date
Gender
Applicant
Male
Female
Male
Female
Spouse
Male
Female
Male
Female
Your Current Residence
Country
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China, mainland
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Republic of the
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland, Republic of
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Saint-Pierre and Miquelon
Samoa
San Marino
Sao Tomé and Príncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan (Republic of China)
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Zip
State
AA - U.S. Armed Forces Americas
AB - Alberta
AE - U.S. Armed Forces Canada
AE - U.S. Armed Forces Europe
AE - U.S. Armed Forces Middle East
AE - U.S. Armed Forces Africa
AK - Alaska
AL - Alabama
AP - U.S. Armed Forces Pacific
AR - Arkansas
AS - American Samoa
AZ - Arizona
BC - British Columbia
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
FM - Federated States of Micronesia
GA - Georgia
GU - Guam
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MB - Manitoba
MD - Maryland
ME - Maine
MH - Marshall Islands
MI - Michigan
MN - Minnesota
MO - Missouri
MP - Northern Mariana Islands
MS - Mississippi
MT - Montana
NB - New Brunswick
NC - North Carolina
ND - North Dakota
NE - Nebraska
NF - Newfoundland
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NS - Nova Scotia
NT - North West Territories
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
ON - Ontario
OR - Oregon
PA - Pennsylvania
PE - Prince Edward Island
PR - Puerto Rico
PW - Palau
QC - Quebec
RI - Rhode Island
SC - South Carolina
SD - South Dakota
SK - Saskatchewan
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VI - Virgin Islands
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
YT - Yukon
City/Town
Address
Phone
req.
example: 202-555-1212
Fax
example: 202-555-1000
Email
req.
example: name@email.com
What is your
Adoption Placement Type
?
International
Domestic
Either
Adoption Criteria -- Please describe the child(ren) you desire to adopt?
Age Range (Yrs)
Gender
Health Condition
Siblings
# Sibs
1.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
No Siblings
Probably Additional
Mandatory Additional
No Siblings
Probably Additional
Mandatory Additional
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
2.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
3.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
4.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
5.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
6.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
7.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
8.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
9.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
10.
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
0
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
-
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
0.5
1
1.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
No Preference
Male Only
Female Only
Male Preferred
Female Preferred
Healthy
Mild Physical Affliction
Severe Physical Correctable
Healthy
Mild Physical Affliction
Severe Physical Correctable
Related Pref.
Related Only
Twins Only
Related Pref.
Related Only
Twins Only
Please Add Any Additional Information to Help Describe Your Criterion
3000 Characters Max
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