Gladney Center for Adoption | Prospective Adoptive Parents

Gladney Center for Adoption | Prospective Adoptive Parents - Waiting Child Review Form

Dear Prospective Adoptive Parent,

Prior to starting the adoption process, Gladney Center for Adoption requires that a family submit a Prospective Adoptive Parents Form. We really appreciate your time in telling us about your family. All of this information will remain secure and confidential. The purpose of this form is to make sure your family qualifies for the country program in which you are interested. An Adoption Specialist will follow up with you after receiving your information. We look forward to working with you and getting to know your family!

Please note that fields with "*" are required. If the field does not apply, please enter "NA." With the exception being: if you are applying as a single parent, please leave ALL 'Ap 2' fields blank.

We may be able to save you time by pre-filling the form with the information that you have previously entered.

Have you previously submitted your information to us?

Children in Home

# of children in home

First Name	Last Name	Gender*	Birth Date*	If Adopted Child, Country Adopted From	Adoption Date

Medical Conditions

Have you or any of your family members had any medical conditions?

Family Details - Medical Conditions

Medications

Family Details - Medications

Completed Prospective Adoptive Parent Form

Once you have completed all fields on this form, please check this box and click submit*

Should you be interested in working with our agency, you will find information about our adoption service policies and practices, including general eligibility criteria and fees under each of our adoption programs. You can find more information about our number of placements, applications and number of waiting children here. Should you proceed, you will be asked to sign a contract like the sample found here after we receive your adoption application and initial application fee. If you are in a state outside of Gladney's licensed states which are Arkansas, Delaware, Florida, Illinois, Missouri, New Jersey, New York, North Carolina, Oklahoma, Pennsylvania, or Texas, you will need a home study provider in your state. A list of already approved supervised provider partners can be found here. Should you wish to work with an alternative provider, we will need to approve them in advance.

Submit

If you have any problems with this form, please call Gladney Center for Adoption at (302) 475-8977.