LGBT Adoption Application | Gay & Lesbian Adoption Application

First Name*: Invalid Input

Last Name*: Invalid Input

Spouse/Partner's First Name: Invalid Input

Spouse/Partner's Last Name: Invalid Input

Street Address (include apt/unit #): Invalid Input

City: Invalid Input

State: Invalid Input

Zip: Invalid Input

Email Address*: Invalid Input

Home Phone: Invalid Input

Cell Phone: Invalid Input

Best time to reach you: Invalid Input

How did you hear about LifeLong? Invalid Input

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

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

Preferred Race of Baby: Invalid Input

Employment Information

Your Occupation: Invalid Input

Spouse/Partner's Occupation: Invalid Input

General Descriptions

Your Date of Birth: Invalid Input

*You must be 25 years of age or older to adopt.

Your Race: Invalid Input

Your Hobbies, Talents and Interests: Invalid Input

Your Community Service: Invalid Input

Religion: Invalid Input

Spouse/Partner's Date of Birth: Invalid Input

*You must be 25 years of age or older to adopt.

Spouse/Partner's Race Invalid Input

Spouse/Partner's Hobbies, Talents and Interests: Invalid Input

Spouse/Partner's Community Service / Activities: Invalid Input

Marital History

Currently Married Invalid Input

Date of Marriage: Invalid Input

Education

Your Education Level: Invalid Input

Your Year Graduated: Invalid Input

Spouse/Partner's Education Level: Invalid Input

Spouse/Partner's Year Graduated Invalid Input

Financial Summary

Remains Confidential

Household Income: Invalid Input

Own or Rent? Invalid Input

Children

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

Child 1 Age: Invalid Input

Child 1 Gender: Invalid Input

Child 1 Adopted or Biological: Invalid Input

Child 2 Age: Invalid Input

Child 2 Gender: Invalid Input

Child 2 Adopted or Biological: Invalid Input

Child 3 Age: Invalid Input

Child 3 Gender: Invalid Input

Child 3 Adopted or Biological: Invalid Input

Child 4 Age: Invalid Input

Child 4 Gender: Invalid Input

Child 4 Adopted or Biological: Invalid Input

Personal History

Declared Bankruptcy? Invalid Input

Been under psychiatric care? Invalid Input

Dishonorable discharge from the military? Invalid Input

Been arrested? Invalid Input

Placed a child for adoption? Invalid Input

Past due on court ordered child support? Invalid Input

Explain any of the above: Invalid Input

Please describe briefly your reasons for wanting to adopt: Invalid Input

Lifestyle Information

Describe your neighborhood and home: Invalid Input

What do you enjoy doing together & individually? Invalid Input

How will your life change after adoption? Invalid Input

Home Study

Have you completed a home study? Invalid Input

Completed home study by? Invalid Input

Signed up with other adoption agencies? Invalid Input

Names and numbers of other agencies: Invalid Input

Enter the Verification Code below: Invalid Input

Please upload a photo:

No File Selected

Yes, please add me to your newsletter list. Invalid Input

This is an application, not a contract. There is no obligation by either party. Vital statistics are confidential and are not shared with birthparents. Your information is submitted via a secure server for additional security. By submitting this application you admit that your answers are true and correct. For more information, please read our privacy statement.

Please note: We will contact you within 72 hours of receipt of your complete application. Contact will be made by email or phone.

Application to Adopt a Baby

Employment Information

General Descriptions

Marital History

Education

Financial Summary

Children

Personal History

Lifestyle Information

Home Study

Contact Us

Free Application

Application to Adopt a Baby

Employment Information

General Descriptions

Marital History

Education

Financial Summary

Children

Personal History

Lifestyle Information

Home Study