Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Child Adoption Application Form Template

Streamline Your Child Adoption Process with Ease

Navigating the adoption process can feel overwhelming, but our Child Adoption Application Form Template is here to simplify it for you. Designed for adoption agencies and prospective parents, this template streamlines the application process, helping you collect vital information efficiently. With user-friendly fields for personal details, background checks, and references, you can ensure compliance and thoroughness, offer a stress-free experience for applicants, and speed up your review process. Experience the ease of organizing applications in one place-try the live template today.

Use this Template (FREE) Live Preview
Full legal name
Date of birth
Primary language
Country of citizenship
Marital status
Single
Married
Domestic partnership/civil union
Separated
Divorced
Widowed
Prefer not to say
Email address
Primary phone number
Current residential address
Preferred contact method
Email
Phone
Text message
No preference
Will there be a co-applicant?
Yes
No
Co-applicant full legal name (if applicable)
Co-applicant date of birth (if applicable)
Co-applicant relationship to applicant (if applicable)
Spouse
Domestic partner
Fiance(e)
Other
Please Specify:
Number of adults in the household
Number of children in the household and their ages
Bedrooms available for the child(ren)
Housing situation
Own house
Own apartment/condo
Rent house
Rent apartment/condo
Other
Please Specify:
Current employment status
Employed full-time
Employed part-time
Self-employed
Homemaker
Student
Unemployed
Retired
Employer name and position (or describe your work)
Household annual income range (USD)
Under $25,000
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
$150,000+
Do you have health insurance coverage that could include a child?
Yes
No
Have you or any household member ever been investigated for child abuse or neglect?
Yes
No
If yes, please provide details (dates, outcomes)
Have you or any household member ever been convicted of a crime?
Yes
No
If yes, please provide details (offense, date, jurisdiction, outcome)
If yes, please describe any ongoing treatment or supports
Do you have any medical or mental health conditions that could affect parenting?
Yes
No
Briefly describe your reasons for pursuing adoption
Your prior experience caring for children (select all that apply)
Parented biological or adopted children
Foster care experience
Kinship/relative caregiving
Professional childcare/education
Volunteer with children
No prior experience
Preferred adoption type
Domestic infant
Domestic foster care
International
Kinship
No preference
Unsure
Age range you are open to (select all that apply)
0-12 months
1-3 years
4-6 years
7-9 years
10-12 years
13-17 years
No preference
Unsure
Are you open to sibling groups?
Yes, open to siblings
Prefer single child placement
No preference
Unsure
Openness to special needs (select all that apply)
Reference 1 full name
Reference 1 contact details (phone and/or email)
Reference 2 full name
Reference 2 contact details (phone and/or email)
May we contact your references now?
Yes
No
Availability for home study visits or interviews
I consent to background and child abuse registry checks, and to contacting references and conducting a home study
Yes
No
I consent to the collection and processing of my personal data for the purpose of adoption screening
Yes
No
I understand that submitting this application does not guarantee approval or placement
Yes
No
Applicant typed signature (full legal name)
Date
I certify that the information provided is true and complete to the best of my knowledge
Yes
No
{"name":"Full legal name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full legal name, Date of birth, Primary language","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration representing a child adoption application form template with creative design elements.

When to use this form

Use this application when you need to qualify prospective adoptive parents, organize home study details, and collect legal consents in one place. Agencies, licensed attorneys, and nonprofits benefit by standardizing intake, tracking references, and preparing for court or placement decisions. It fits info sessions, pre-screening before training, and updates after home visits. Add file uploads for IDs and training certificates, and route submissions to reviewers for faster matches. If your organization also runs an animal adoption program, you can reuse workflows from the Dog adoption application form.

Must Ask Child Adoption Application Questions

  1. What type of adoption are you pursuing, and what is your primary motivation to adopt?

    This clarifies intent and expectations so you can guide applicants to programs that fit. It also flags readiness and training needs early, which reduces delays later.

  2. Who lives in your household, and what are their ages and relationships to you?

    Household composition affects safety reviews, supervision, and matching decisions. If pets are part of the home, link a short section or a Veterinary intake form to verify vaccinations and safety considerations.

  3. What is your caregiving plan, work schedule, and available support network?

    Daily routines and backup care show how the child will be supported. Clear plans help assess stability and identify resources to offer.

  4. Which age ranges, sibling groups, and medical or developmental needs are you open to?

    Specific preferences improve matching quality and reduce the chance of a disrupted placement. They also guide required training and provider referrals.

  5. Do you consent to a home study, background checks, and sharing references and financial documentation?

    Consent ensures compliance with state and agency rules so you can proceed without gaps. Securing this upfront speeds verification and prevents last-minute holds.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel