Adoptive child information

Special Needs Category (check boxes)

Select the check box next to each special need characteristic that applies to this child. The E/D/P Delays box refers to emotional, development, or psychological delays.

Siblings to be Considered?

Select Yes or No to indicate whether this child has siblings who are being considered for adoption.

Number of Siblings

If you selected Yes in the previous field, select the number of siblings.

All Siblings Considered for Placement Together?

Select Yes or No indicate whether any siblings are being considered for an adoptive placement together. If you select No, you must enter a reason in the following field.

Explain Why All Siblings Not Considered for Placement Together

If siblings are not being considered for an adoptive placement together, enter the reason. You can enter up to 500 characters.