Get in Touch Name* First Last Address* City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State PhoneEmail* Your Age*18-2425-3435-4445-5455-6465 or AboveAge of Your Partner (if relevant)N/A18-2425-3435-4445-5455-6465 or AboveWhat age child are you looking to adopt?*Newborn0-34-67-12Over 12Potential Barriers to AdoptionAge barriersBarriers due to sexual orientationBarriers due to being singleBarriers due to ethnicityI’m not sure why I’m facing barriersThrough which channel(s) have you tried to adopt to date? (Check all that apply)* Private domestic adoption International adoption Foster care - local to you Foster care - another state Other What adoption fee range is most comfortable to you?* Under $2000 Between $2001 and $10,000 Between $10,000 and $25,000 Whatever it takes Anything else you would like me to know?
