Adoption Inquiry Form

This is NOT an application.

Parent One Personal Information

Title

First Name

Last Name

Suffix

Phone (work)

Phone (cell)

Date of Birth

Occupation

Education Level

Religion

Interests and Hobbies

Parent Two Personal Information

Title

First Name

Last Name

Suffix

Phone (work)

Phone (cell)

Date of Birth

Occupation

Education Level

Religion

Interests and Hobbies

General Information

Address

Address 2

City

State

Zip

Country

Phone (home)

Date of Marriage

Number of Children at Home

Geographic Location Urban Rural

Brief Description of Your Location

I am interested in the following program(s) Infancy Program (In State)*
Domestic Program (Out of State)*
International Program
Home Study Only for Independent Placements

* includes children of mixed racial/cultural heritage

Name of Placing Agency (if known)

Name of Country (if known)

How did you hear about us?

Adoption

Our Hague-accredited adoption program, Maine's longest-operating adoption program, provides expert assistance to those hoping to adopt internationally or domestically. more »

The Harland A. Turner Counseling Center

Offering outpatient mental health counseling, specializing in play and art therapy and adoption counseling. more »

Adoption Counseling

Specialized counseling for people considering adoption as well as adoptive parents, birth parents, and adoptees of all ages. more »

The Teen Parent School Program

Providing education, counseling and guidance to pregnant and parenting teens. more »

The Children's Place

Delivering early care and education to children 6 weeks old to age 5. more »

The Christmas Program

The only program of its kind providing new clothing, books, games and toys to underprivileged children throughout Maine. more »

Summer Camp Scholarships

Providing an overnight camp experience to approximately 150 disadvantaged Maine children each year.more »

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