Relative/Kinship Adoption Questionnaire
Applicant Information
Full Name
Date of Birth
Relationship to Child
Address
Phone Number
Email
Spouse/Partner Information (if applicable)
Full Name
Date of Birth
Relationship to Child
Child's Information
Full Name
Date of Birth
Current Living Arrangements
Household Members
List all persons living in your household, their age, and relationship to you
Motivation for Adoption
Why do you want to adopt this child?
Relationship with Child
How long have you known the child? What is your relationship like?
Support System
What kind of support do you have (family, friends, community)?
Financial Information
Current Occupation and Employer
Annual Household Income
Other Sources of Support (if any)
Health Information
Any physical or mental health issues in the household?
Other Information
Is there anything else you would like to share?