Once you complete and submit the form below, you will be directed to a link where you can create an account with MyAdoptionPortal (MAP) and begin your Preliminary application online.
(age/sex of each child – birth or adopted-indicate any children not living at home)
(yes/no; if yes, list sex and age of child, agency, who did adoption study, year of adoption)
(yes/no; if yes, list parent and # of times)
(age range, sex, country – open to school age child or medical needs?)