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Adoption Info Line: 1-877-ADOPT-20

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What child(ren) would you like to express interest in? *

How did you learn about this child or sibling group? *

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Have you spoken to a Clinical Coordinator? *

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Your Full Name *

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Relationship between Applicants:

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Persons in the home: (E.g. children, relatives, etc.) *

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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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AdoptOntario

AdoptOntario™ is for families interested in adoption – whether approved for adoption, in the process of being assessed, or making initial inquiries about the process. We support the connection between families, and children waiting in Ontario’s foster care system for a permanent family, using technology, clinical support and cooperation with adoption workers in our province’s public and private adoption systems.

PO Box 30010 RPO Boxgrove, Markham, Ontario, L6B 0R5 | 416-482-0021 | TOLL free 1-877-236-7820

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