Birth Father'S Adoption Plan Page 3

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INFORMATION ABOUT ADOPTIVE FAMILY
How and when did you locate or become aware of the adoptive parent(s)?
__________________________________________________________________________
__________________________________________________________________________
Describe your reasons for choosing or supporting placement with these particular adoptive
parent(s)
__________________________________________________________________________
__________________________________________________________________________
If an agency or another person introduced you to or gave you information about the adoptive
parent(s), give their name and address and details of how the placement was arranged
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Have you met the adoptive parent(s)? Yes
No
If not, do you want to meet them prior to placement? Yes
No
Do you want to meet them at the time of placement?
Yes
No
Do you know the full name(s) of the adoptive parent(s)? Yes
No
Do you know the address or area of residence of the adoptive parent(s)? Yes
No
Do you know the age(s) of the adoptive parent(s)? Yes
No
Do you know the religion of the adoptive parent(s)? Yes
No
Do you know the race or ethnicity of the adoptive parent(s)? Yes
No
Do you know the length of current marriage of the adoptive parent(s)? Yes
No
Do you know the number of previous marriages of the adoptive parent(s)? Yes
No
Do you know the employment of the adoptive parent(s)? Yes
No
Do you know whether other children or adults live in the home of the adoptive parent(s)?
Yes
No
Do you know whether the adoptive parent(s) have any other children who do not reside in
their home? Yes
No
Do you know whether the adoptive parent(s) is/are meeting his/her child support obligations
for minor children no in their home? Yes
No
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