Transracial Adoption Home Study Questionnaire
Applicant Information
Full Name
Address
Phone Number
Email
Family Demographics
Household Members (Names, Ages, Relationships)
Marital Status
Do you have biological or adopted children?
Motivation & Preparation
Why do you wish to adopt transracially?
What steps have you taken to prepare for transracial adoption?
Experience & Awareness
Describe your experiences with people of other races/ethnicities.
How do you define and understand racism and privilege?
Describe the racial/ethnic diversity in your community.
What support systems do you have for yourself and your future child?
Plans & Commitments
How will you support your child’s connection to their cultural/ethnic heritage?
How will you educate yourself and others about transracial adoption issues?
How will you respond to racism or prejudice affecting your child?
Additional Comments