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Interested in adopting from China or Korea? Whether you are just beginning to explore the idea of adoption or you are ready to jump in with both feet, the eligibility application is a great place to start. The below application will provide AAC staff with the basic information we need to know in order to verify that you meet the requirements of the program you are interested in. This will also give you access to AAC's Waiting Child Listing. If you are interested in viewing this list, simply mention the listing in the comments section of the application. Who knows, maybe your child is waiting for you to find them there!
Note: There is no fee or obligation associated with the application. Information you provide is strictly confidential.
If you experience any difficulty submitting the application, please let us know by emailing info@aacadoption.com
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General Information:
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Family Name:*
Please let us know Your Name.
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Address 1:*
Please enter your Address.
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Address 2:
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City:*
Please enter your City.
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State:*
Please select your state
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Zip:*
Please enter your Zip Code
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Country:*
Please select your Country.
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Phone:
Please enter your Phone #.
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Alternate Phone:
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Main Email:*
Please enter your Main Email Address.
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Husband's Information:
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Husband's Name:*
Please enter Husband's Name
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Date of Birth:*
Please enter Husband's Date of Birth
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Citizenship:*
Please enter Husband's Citizenship
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Race:*
Please enter Husband's Race
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Religion:*
Please enter Husband's Religion
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Height:*
Please enter Husband's Height
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Weight:*
Please enter Husband's Height
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Number of Previous Marriages:*
Please enter Husband's Number of Previous Marriages
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Income:*
Please enter Husband's Income
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Daytime Phone:
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Email Address:
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Wife's Information:
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Wife's Name:*
Please enter Wife's Name
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Date of Birth:*
Please enter Wife's Date of Birth
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Citizenship:*
Please enter Wife's Citizenship
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Race:*
Please enter Wife's Race
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Religion:*
Please enter Wife's Religion
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Height:*
Please enter Wife's Height
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Weight:*
Please enter Wife's Weight
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Number of Previous Marriages:*
Please enter Wife's Number of Previous Marriages
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Income:*
Please enter Wife's Income
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Daytime Phone:
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Email Address:
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Family Information:
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Household Annual Income:*
Please enter Household Annual Income
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Net Worth:*
Please enter Household Net Worth
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Date of Marriage:*
Please enter Date of Marriage
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Number of Children:*
Please select Number of Children
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Children's Ages:*
Please enter Children's Ages
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Number of Children Adopted:*
Please enter Number of Children Adopted
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Other Information:
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Do you or your spouse have any major health concerns or history of health issues? (Ex. diabetes, cancer)*
Please enter Family Health
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Have you or your spouse ever been treated for depression or mental illness?*
Please enter Family Mental Illness
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Have you or your spouse had any arrests, charges and/or convictions of any criminal offense? (ex. DUI, trespassing)*
Please enter Family Arrests
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Have you or your spouse ever been involved with illegal drug use?*
Please enter any Family Drug Use
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Adoption Information:
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Have you had a home study done before?*
Please select if you've had a Home Study
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If yes, date:
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Homestudy Agency:
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Agency Address
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Address 1:
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Address 2:
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City:
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State:
Please select your state
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Zip:
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Country:
Please select your Country.
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Do you have any previous adoption experience? If yes, provide the date:*
Please enter if you've had any Adoption Experience
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Have you ever experienced an unsuccessful adoption? If yes, please explain:*
Please enter if you've had any Unsuccessful Adoptions
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Which Program are you interested in?*
Please enter which Program you are interested in
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What type of child are you interested in adopting?*
Please choose What Type of Child
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Age:
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Siblings?
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Waiting Child?
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If you are interested in learning more about a specific child please enter child's name here:
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Please share your reasons for adoption:*
Please share your Reasons for Adoption
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Will your insurance cover the child upon arrival?*
Please enter Insurance
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Will any pre-existing conditions be covered?*
Please enter if Pre Existing Conditions are covered
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How did you hear about our agency?*
Please enter how you Heard of Our Agency
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Statement of Understanding
By clicking on the "Agree/Submit" button below I/We signify that: To the best of my/our knowledge, the attached information is true.
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Enter Code:*
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