Military Family Adoption Home Assessment Form
Family Identifying Information
Adoptive Parent 1 Full Name
Adoptive Parent 2 Full Name
Address
Phone Number
Email
Military Branch
Current Rank
Status (Active Duty, Reserve, Veteran)
Household Members
Name
Age
Relationship
Military Service Details
Length of Military Service
Current Duty Station
Deployment History
Home & Environment
Type of Residence
Neighborhood Description
Overview of Home (number of bedrooms, bathrooms, etc.)
Child’s Bedroom Arrangement
Parenting & Adoption Readiness
Previous Experience with Children
Motivation to Adopt
Plans for Childcare (during deployment or relocation)
Support System (family, friends, military resources)
References
Name
Relationship
Phone / Email
Additional Comments