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Funding Your Adoption
Adoption Fundraising - Can it be affordable?
Crowdfund Your Adoption
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Home Study Services
Snowflakes Family Evaluations
More
Adoption from Dissolution
Post Adoption Support
Orfund
Why Choose Nightlight?
Our History
Donate
Blog
Contact Us
I'm Pregnant
Adoption Programs
Snowflakes Embryo Adoption
International Adoption
Domestic Infant Adoption
Anchored in Hope - Adoption from Foster Care
Waiting Child Profiles
Foster Care
Foster Care Home
California
Colorado
Georgia
Indiana Foster Care
Kentucky
Oklahoma
South Carolina
Texas Foster Care
Funding Your Adoption
Adoption Fundraising - Can it be affordable?
Crowdfund Your Adoption
Home Study
Home Study Services
Snowflakes Family Evaluations
More
Adoption from Dissolution
Post Adoption Support
Orfund
Why Choose Nightlight?
Our History
Donate
Blog
Contact Us
I'm Pregnant
Adoption Programs
Snowflakes Embryo Adoption
International Adoption
Domestic Infant Adoption
Anchored in Hope - Adoption from Foster Care
Waiting Child Profiles
Foster Care
Foster Care Home
California
Colorado
Georgia
Indiana Foster Care
Kentucky
Oklahoma
South Carolina
Texas Foster Care
Funding Your Adoption
Adoption Fundraising - Can it be affordable?
Crowdfund Your Adoption
Home Study
Home Study Services
Snowflakes Family Evaluations
More
Adoption from Dissolution
Post Adoption Support
Orfund
Why Choose Nightlight?
Our History
Donate
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You have been asked to provide a reference for a prospective adoptive family. Thank you for taking a few moments to help us assess whether this family will be a suitable placement for adoption.
Name of Reference (your name)
Name of prospective adoptive family
How long have you known the applicant?
In what capacity do you know the applicants?
Relative
Colleague
Close friend
Acquaintance
Pastor
Other
How frequent is your contact with the applicants?
Have any of the behaviors or conditions below been a problem for the husband?
Excessive use of alcohol
Child abuse or neglect
Unstable work history
Violent behavior
Poor money management
Compulsive gambling
Inappropriate sexual behavior
Mental illness
Criminal activity
Depression and/or suicidal tendencies
Other
Have any of the behaviors or conditions below been a problem for the wife?
Excessive use of alcohol
Child abuse or neglect
Unstable work history
Violent behavior
Poor money management
Compulsive gambling
Inappropriate sexual behavior
Mental illness
Criminal activity
Depression and/or suicidal tendencies
Other
If you checked any of the problem behaviors above, please elaborate on the nature of the problem.
Please describe the couple's marriage
Please describe the husband's personality:
Please describe how the husband relates to children:
Please describe the husband's feelings toward adoption:
Please describe the wife's personality:
Please describe how the wife relates to children:
Please describe the wife's feelings toward adoption:
Please give us a general statement about the couple's ability to adopt.
Date
MM slash DD slash YYYY
Please include your email address
Please include your Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Please include your Phone number
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