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What child(ren) would you like to express interest in? *
How did you learn about this child or sibling group? *
Waiting Children Photolisting
Gabby Profile from my Private Practitioner
Kid's Korner
Family Search Profile from AdoptOntario
Adoption Council of Ontario Newsletter
ARE Online Platform
Other
Have you spoken to a Clinical Coordinator? *
With whom did you speak? *
Your Full Name *
Gender
Language(s)
Race(s)
Ethnicity
Birth Year *
Occupation
Full Name
Relationship between Applicants:
Gender
Language(s)
Race(s)
Ethnicity
Birth Year
Occupation
Persons in the home: (E.g. children, relatives, etc.) *
City/Town *
Telephone *
Email *
Name of CAS/Private Practitioner *
Worker Name *
Worker Telephone or Email *
Are you considered AdoptReady? (I.e. completed SAFE homestudy and PRIDE training)? If no, when do you anticipate completing this? *
Do you have any previous parenting experience? *
How are you able to meet this child or sibling group’s racial, cultural or religious needs? *
Why are you considering the adoption of this child or sibling group? *
How do you meet the adoption worker’s matching criteria for this child or sibling group? *
What skills or life experiences do you have to parent this specific child? *
Describe your home life. How might this change with this child or sibling group in your home? *
Describe your work life. How might this change with this child or sibling group in your home? *
How are you able to meet this child or sibling group’s openness needs? E.g. how would this fit into your daily life schedule? *
What do you think may be challenging for you about parenting this particular child or children? *
Who do you identify as your main supports? *
What is your plan for parental leave? *
Do you have any additional questions about this child or sibling group?
Is there anything else that you would like the adoption worker to know?
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