Free Application | Pregnant Considering Adoption

free application As of May 25th we currently have 2 spots available.

Unlike other adoption agencies, our application is 100% free. Since we only work with a limited number of couples at a time, not everyone is accepted into our program and we believe you should not have to pay for us to review your application.

Free Adoption Application

First Name:

Last Name:

Spouse's First Name:

Spouse's Last Name:

Street Address:

City:

State:

Zip:

Home Phone

Cell Phone

Best time to reach you

How did you hear about LifeLong?

To help us determine your adoption time frame please tell us when you will be ready to start the adoption process?

Gender of Child You Wish To Adopt: LifeLong Adoptions only deals with newborn babies.

Preferred Race of Baby:
*Hold CTRL while clicking to select multiple

Employment

Your Occupation

Spouse's Occupation

General Descriptions

Your Date of Birth

Your Race

Your Hobbies, Talents and Interests:

Your Community Service:

Religion

Spouse's Date of Birth

Spouse's Race

Spouse's Hobbies, Talents and Interests:

Spouse's Community Service / Activities:

Marital History

Date of Marriage

Education

Your Education Level

Your Year Graduated

Spouse's Education Level

Spouse's Year Graduated

Financial Summary
(Remains Confidential)

Household Income

Own or Rent?

Children
(Please enter the age of your children and indicate if the child is adopted or biological.)

Child 1 Age

Child 1 Gender

Child 1 Adopted or Biological

Child 2 Age

Child 2 Gender

Child 2 Adopted or Biological

Child 3 Age

Child 3 Gender

Child 3 Adopted or Biological

Child 4 Age

Child 4 Gender

Child 4 Adopted or Biological

Personal History

Declared Bankruptcy?

Been under psychiatric care?

Dishonorable discharge from the military?

Been arrested?

Placed a child for adoption?

Past due on court ordered child support?

Explain any of the above:

Reasons for wanting to adopt.:

Lifestyle Information

Describe your neighborhood and home:

What do you enjoy doing together & individually?:

How will your life change after adoption?:

Have you completed a home study?

Home Studies

Completed home study by?

Signed up with other adoption agencies?

Names and Numbers of other Agencies:

Photo

Please Upload a Photo

Choose File

Read & Submit

Please note: We will contact you within one to two weeks of receipt of your complete application. Contact will be made by email or phone.

Hoping to Adopt?

free application As of May 25th we currently have 2 spots available.

Free Adoption Application

Employment

General Descriptions

Marital History

Education

Financial Summary
(Remains Confidential)

Children
(Please enter the age of your children and indicate if the child is adopted or biological.)

Personal History

Lifestyle Information

Home Studies

Photo

Read & Submit

Menu Links

Contact Us

Hoping to Adopt?

free application ***As of May 25th we currently have 2 spots available.***

Free Adoption Application

Employment

General Descriptions

Marital History

Education

Financial Summary(Remains Confidential)

Children(Please enter the age of your children and indicate if the child is adopted or biological.)

Personal History

Lifestyle Information

Home Studies

Photo

Read & Submit

Menu Links

Contact Us

free application As of May 25th we currently have 2 spots available.

Financial Summary
(Remains Confidential)

Children
(Please enter the age of your children and indicate if the child is adopted or biological.)