
Adoption World, Inc.
Mazzafro
Adoption Associates

WARNING
- Be ready to read and think!
The following information are
guidelines in the Adoption Process.
Each State is different but these guidelines
are close to what a good agency should be
following.
The process is lengthily and a
legitimate agency should have the
following:
Introduction to the agency
Guidelines
Application
Price sheet of all cost, broken down
An intake form of what you are requesting
A contract, "bring your own
lawyer"
A corporation license issued by the state
( current )
A listing of available children
A time frame for placement
A list of requirements you will need to
provide
A homestudy used by a licensed Social
Worker
An assigned Social Worker who will stay
with your case through the process
A list of references of families who have
adopted through their agency
A list of support groups and workshops
available for you to attend
International Adoptions are
different and will be covered in another
format
Remember, never settle on the
first agency, although once hired you will be
scrutinized, now is the time for you to
scrutinize the agencies and go with the best.
Never let the agency manipulate
you, they might have what you desperately
want but this choice will be for life and
affect many lives, you must stay in control.
If you are not sure how, find out or hire a
attorney.

Cost of Adopting
There are a wide range of cost in adopting,
as there are:
Private adoptions through private agencies.
These adoptions can include healthy infants
through older special needs children.
There is the State or Health and Human
services who deal with mostly young children
and special needs children.
There are private Attorneys who place
mostly newborns.
There are Open Adoption Agencies who deal
with newborns, where the birth mother gets to
pick the family she wants her child to go to
and you meet the birth mother and go through
the birth process with the birth mother.
There is International Adoptions where you
go through a foreign country. Some Countries
require you to travel to that country to
finalize the adoption.
There is the Adoption where a parent can
voluntarily terminate their parental rights
and petition the court to have the child
adopted by you.
There is Subsidy available for the
adoption of older and special needs children.
These subsidies can include the attorney
fees, the agencies fees and a living
allowance for the child up to their 18th
birthday.
Never be afraid to ask
for and never turn down a subsidy as you will
find out you will need it in the future.

FACTS
You will be overwhelmed with
emotion. Do not start until you are thinking
with your head and not just your heart.
You and your partner are not on the same
page, make sure you get there before starting
Murphys law in place, what can go wrong
will go wrong, build the strength and
tenacity to see this process through.
If at first you do not trust the
Agency or the worker assigned to your case,
GET OUT.
NO adoption is final until the
court says it is final

FICTION
These fees are final
Guarantee placement of a child
We can complete the adoption in ? amount
of time
You do not need an attorney
This is not the child you were looking for
but it is best for you
We do not have all the information on the
childs past and or health
We do not keep a list of other families
who adopted through our agency, or we do not
give out phone numbers of others who adopted
through our agency.
A worth while Tip::::If you are #
? on the list of waiting families, find out
how long #1 has been waiting, then #2 etc.
this gives you a true picture of the agencies
abilities to place.
SO here we go, here is some of the
paperwork involved.

This is an agreement that was used
with our agency, all agreements are different
but before you sign make sur it is spelled
out, and you understand what you are agreeing
to. Never sign an agreement unless a
qualified attorney trained in adoption law
reviews the contract first.
AGREEMENT
THIS AGREEMENT IS MADE THIS DAY OF BETWEEN
(NAME OF AGENCY), A LICENSED ADOPTION AGENCY IN
(State) AND A CORPORATION OF THE STATE OF (State)
HERE AFTER REFERRED TO AS THE
"CORPORATION" AND HEREAFTER REFERRED TO
AS THE CLIENT(S).
NOW THEREFORE, IN CONSIDERATION OF MUTUAL
PROMISES AND THE CORPORATION PROVIDING OF
CONSULTING SERVICES MORE FULLY SET FORTH BELOW,
THE PARTIES HEREBY MUTUALLY WARRANT, REPRESENT,
AND AGREE TO THE COVENANTS AND PROMISES AS
FOLLOWS:
1) NEITHER THE "CORPORATION" NOR
ITS REPRESENTATIVES ARE LAWYERS.
2) THE CORPORATION" SHALL PROVIDE AT
THE REQUEST OF AND FOR THE ASSISTANCE
OF "CLIENTS" CONSULTING SERVICES TO
"CLIENTS" WHO DESIRE TO ADOPT, THE
SERVICES MAY INCLUDE THE FOLLOWING
ASSISTANCE:
A) TO ADVISE THE
"CLIENTS" OF PROCEDURES IN THE
ADOPTION PROCESS.
B) TO ADVISE THE
"CLIENT" CONCERNING THE
PROCEDURAL REQUIREMENTS IMPOSED BY THE
COURTS
C) TO ADVISE THE
"CLIENT" ON THE PREPARATION OF
ALL THE NECESSARY DOCUMENTS
D) TO ASSIST IN
COMMUNICATING WITH ATTORNEYS AND AGENCIES
OR OTHER GOVERNMENT OFFICIALS WHO WILL
ASSIST IN LOCATING AN ELIGIBLE CHILD FOR
ADOPTION BY "CLIENT", AND TO
FURTHER MAINTAIN COMMUNICATION WITH SAID
PERSON OR PERSONS DURING THE ADOPTION
PROCEEDINGS
E) TO ARRANGE PRE
PLACEMENT AND PLACEMENT OF CHILD WITH
PROSPECTIVE ADOPTIVE FAMILY.
F) TO SUPERVISE THE
CHILD IN THE PROSPECTIVE ADOPTIVE
FAMILIES HOME FOR NO LESS THAN ( 6 )
MONTHS.
G) TO ASSIST WHEN AND
WHERE NEEDED TO FINALIZE THE ADOPTION.
3) THE "CLIENTS" UNDERSTAND THAT
THE "CORPORATION" CANNOT MAKE ANY
GUARANTEES WITH RESPECT TO THE TIME FRAME IN
WHICH THE ADOPTION WILL BE COMPLETED. ANY
MENTION OF LENGTH OF TIME FOR THE COMPLETION
OF THE ADOPTION IS ONLY AN ESTIMATE BASED ON
PREVIOUS CASES, AND THE "CLIENT"
UNDERSTANDS THAT EACH CASE IS DIFFERENT AND
IMPOSSIBLE TO ACCURATELY CALCULATE THE TIME
THE "CLIENTS" CASE WILL TAKE.
4) THE "CLIENTS" UNDERSTAND THAT
NEITHER THE "CORPORATION" NOR ITS
REPRESENTATIVES CAN GUARANTEE THAT THE CHILD
IS FREE FROM ANY LATENT HEALTH PROBLEMS OR
UNDIAGNOSED AILMENTS OR DISEASED
5) THE "CLIENTS" HEREBY AGREE
THAT THE "CORPORATION CONSULTING FEE FOR
THE SERVICES ALL SET FORTH ABOVE SHALL BE ($
)DOLLARS, ACCORDING TO THE PROGRAM
6) THE FEES REQUIRED ABOVE SHALL BE PAID
AS FOLLOWS:
a) THE APPLICATION
FEE or $100.00, HOME STUDY FEES, AGENCY
FEES ( PARTIAL FEE PAYMENT) ARE DUE WITH
THE AGREEMENT.
b) UPON ACCEPTANCE OF A
CHILD, THE REMAINING AGENCY FEE SHALL BE
PAID IN FULL.
c) ALL COSTS, PAID OR
ADVANCED BY THE "CORPORATION"
SHALL BE REIMBURSED BY "CLIENT"
WHEN INCURRED AND REQUESTED BY
"CORPORATION".
7) THE "CLIENT" UNDERSTANDS THAT
HE SHALL BE RESPONSIBLE OVER AND ABOVE THE
COST SET FORTH ABOVE FOR ALL THE FEES, COSTS
AND EXPENSES OF THE ATTORNEY.
8) NO REFUND IS AVAILABLE FOR THE COSTS OR
FEES PAID, IF THE "CLIENT" ELECTS
TO TERMINATE THE PROCESS VOLUNTARILY. ALL
ACTUAL AND INCURRED COSTS OF THE
"CORPORATION" MUST BE PAID BY THE
"CLIENT" THAT ELECTS TO TERMINATE.
9) "CLIENTS" ARE ADVISED AND ARE
RESPONSIBLE FOR SEEKING THEIR OWN INDEPENDENT
LEGAL ADVICE WITH REGARD TO ANY STEPS,
PROCEDURES, EXECUTION AND PREPARATION OF ANY
DOCUMENTS OR STAGES.
10) THE "CLIENT" HEREBY WAIVES
ANY AND ALL CLAIMS WHICH "CLIENT"
MAY HAVE NOW OR IN THE FUTURE AGAINST THE
"CORPORATION" AND/OR AGAINST ANY OF
ITS INDIVIDUAL REPRESENTATIVES, AND THE
"CLIENT" FURTHER AGREES TO HOLD THE
"CORPORATION" AND ITS INDIVIDUAL
REPRESENTATIVES HARMLESS AGAINST ANY AND ALL
CLAIMS, KNOWN OR UNKNOWN, NOW EXISTING OR
EXISTING IN THE FUTURE, WHICH MAY ARISE OUT
OF THIS AGREEMENT OR THE SERVICES REFERRED
TO, THE ADOPTION, THE HEALTH AND WELFARE OF
THE CHILD, THIS AGREEMENT SHALL BE BINDING
UPON THE "PARTIES" HERETO AND THEIR
RESPECTIVE HEIRS, EXECUTORS, ADMINISTRATORS,
SUCCESSORS AND ASSIGNS
IN WITNESS WHEREOF THE PARTIES HAVE HEREUNTO
SET THEIR HANDS AND SEALS THIS DAY OF ,19__
(NAME OF AGENCY)
BY
WITNESS

Make sure the agency has a
statement, mission statement, philosophy and
description. Here is a sample
(NAME OF AGENCY)
PHILOSOPHY, PURPOSE AND PROGRAM DESCRIPT10N
The ultimate goal of (AGENCY NAME) is to
assist all children who need permanent homes,
find adoptive families who are able to
provide stable, loving, permanent homes.
(NAME AGENCY) aims to locate such homes and
prepare, support and assist adoptive families
prior to and throughout the adoption process,
as well as provide post-placement, and
referral services.
(NAME AGENCY) accepts potential families
who are interested in providing homes for
children (both domestic and abroad).
These adopters may possibly be introduced to
a child through the utilization of resources
such as adoption exchange books or referrals
from other agencies. Should a family consider
a child who is located in such a manor, (NAME
AGENCY) will supervise the study of the
family and coordinate adoption efforts with
the agency which maintains custody of the
child.
Special needs children shall be defined as a
child who possesses one or more of the
following characteristics' having a physical,
emotional, or intellectual handicap, having
correctable medical problems or a
questionable medical history, he over (18)
months of age, or of a minority group.
(NAME AGENCY), will provide ongoing active
recruitment of potential adoptive families in
the United States in order to establish a
large pool of potential adopters.
(NAME AGENCY) aims to provide such
recruitment but also recognizes the need for
increasing community awareness and education
regarding adoption.
The agency will attempt to broaden the
knowledge of the community about many
adoption related issues.
(NAME AGENCY) also believes that such efforts
as parents support groups and networks,
adoption information meetings, adoptive
families picnics, and cultural awareness
event and information sharing can he very
valuable to adoptive families and children.
(NAME AGENCY), maintain an
anti-discrimination policy in that we do not
discriminate against a potential adoptive
family based on age, sex, marital status,
race, color, national origin, handicap, or
religion.
(NAME AGENCY) requirements of perspective
adopters include the following:
Age - 21+ years old
Marital Status - Married at least two years
or single. Exceptions possible.
Health - good physical~mental health
(disabled and handicapped individuals will be
considered)
Children already in the home - no
restrictions
Income - individual assessment of each
family's income to determine ability to
adopt, based on the family's present
abilities to meet their obligations.
State of residence - no restrictions
PROGRAM DESCRIPTION
(NAME AGENCY) will not discriminate against
any child based on age, sex, race, color,
national origin, handicap, religion, economic
or social status, place of residence, or lack
of adoptive family Requirements of
perspective adoptive children include the
following:
Age - All ages in domestic adoptions.
Home situation - both parents clearly unable
to care for child.
Birthparents rights relinquished through
death or voluntary and legal measures.
Health - May be healthy or suffer from a wide
range of special needs.
Upon application to (NAME AGENCY) couples
will be placed on a home study waiting list
and individual home studies will be conducted
by the agency. The agency will also accept
home studies completed by other qualified
social workers affiliated with licensed
agencies. Such cases will be determined on an
individual basis.
Once approved, families will be maintained on
a waiting list until a child, children become
available. All efforts will be made to match
the adoptive parents to the children based on
the child's needs and what the adoptive
family is able to accept in regard to age,
handicap, etc. Assignments of a child to a
family is dependant on Our assessment of the
family, their commitment, the needs of the
child and the needs of the other children in
the home.
All efforts will be made to place siblings
together. In the cases where families have
been introduced to the children through such
resources as exchange books, (NAME AGENCY)
will coordinate efforts with the agency which
has the custody of the child. Families may
accept or reject a child based on their
ability to parent that particular child.
Families will be presented with all available
information on that child from which to base
their decision.
A six months post-placement period shall
he mandatory with three post-placement visits
completed by the social worker and
recommendation made.
(NAME AGENCY) will provide support,
information and assistance for finalization.
Social workers shall be assigned to
prospective adoptive families when such
families apply to the agency and throughout
the adoption process. Responsibilities
include but are not limited to "studies
of potential adoptive families, providing
support to adoptive parents, counseling
referral and post-placement supervision when
indicated".

All agencies have an application,
read it carefully before signing. Like the
contract it is best to allow an attorney to
review the application.
APPLICATION
(AGENCY NAME)
(AGENCY INFORMATION)
DATE
NAME HUSBAND:LAST FIRST M.I. AGE
NAME WIFE :LAST FIRST M.I AGE
ADDRESS:NUMBER STREET APT #
CITY COUNTY STATE ZIP
TELEPHONE: HOME BUSINESS
MARITAL STATUS
MARRIED SINGLE DIVORCED
HOW WERE YOU REFERRED TO (AGENCY NAME)
CHILDREN NAME DATE OF BIRTH SEX
IF ADOPTED, FROM WHAT COUNTRY? WHAT
AGENCY?
HAVE YOU EVER APPLIED FOR ADOPTION? IF SO,
WHERE?
WHERE YOU EVER TURNED DOWN FOR ADOPTION? IF
SO EXPLAIN?
EMPLOYMENT
OCCUPATION/TITLE
EMPLOYER
ADDRESS
SALARY
HUSBAND WIFE
OTHER INCOME
TYPE OF CHILD REQUESTED:
SEX AGE
THERE IS A $100.00 APPLICATION FEE
(NON - REFUNDABLE ).
SIGNATURE HUSBAND SIGNATURE WIFE

This is a typical financial
statement of what information will be
required
FINANCIAL STATEMENT
EMPLOYMENT HUSBAND WIFE
OCCUPATION
EMPLOYER
ADDRESS
PHONE #
SALARY
OTHER
INCOME
YEARS WITH COMPANY
FINANCIAL ASSETS:
REAL ESTATE:
HOME.
MARKET VALUE
MORTGAGE BALANCE
OTHER REAL ESTATE
LIFE INSURANCE:
COMPANY
FACE VALUE
BENEFICIARY
*LIST BELOW ADDITIONAL POLICIES:
STOCKS VALUE
BONDS VALUE
OTHER VALUE
OTHER VALUE
BANK ACCOUNTS:
SAVINGS AMT
CHECKING AMT.
OTHER AMT.
OTHER AMT CREDIT
UNIONS AMT.
LIABILITIES IN EXCESS OF $3,000.00

This is a typical medical report
that is required for the records at the
agency
MEDICAL REPORT OF PROSPECTIVE
CLIENTS
AGE
NAME
ADDRESS
MEDICAL HISTORY
CHECK IF HISTORY IS POSITIVE, GIVE
DETAILS, DATES.
SEIZURE DISORDER
HEART DISEASE
DIABETES
MENTAL ILLNESS
NEUROLOGICAL DISORDER
TUBERCULOSIS
OPERATIONS
PHYSICAL EXAMINATION
HEIGHT_______________________
PULSE_________________________
WEIGHT_____________________
________________________
BLOOD PRESSURE______________________
LUNGS ___________________
ABDOMEN_________________________
SKIN__________________________
CHEST _________________________
NEUROLOGICAL SYSTEM
PERTINENT LABORATORY AND X-RAY FINDINGS
VDRL DATE___________
URINALYSIS DATE
CHEST X-RAY DATE
CBC
SIGHT
HEARING
SIGNIFICANT PAST HISTORY
HOW LONG HAVE YOU KNOWN THE PATIENT?
M.D - TELEPHONE
ADDRESS
SIGNATURE OF PHYSICIAN
DATE

This is a guideline of terms used
by agencies when describing disabilities the
child may have.
PHYSICAL DISABILITIES
Mild - Conditions such
as: one missing limb; controlled medical
conditions, i.e., seizures; hearing or vision
impaired; leg braces; mild CP.
Moderate - Blind; deaf;
moderate CP; paraplegic; spina bifida with
sane function; hydrocephalus; wheelchair
bound.
Severe - Conditions which
necessitate restrictions for child or impair
functioning, that are ongoing and require
constant medical attention; terminal illness;
or a combination of moderate disabilities.
EMOTIONAL DISABILITIES
Mild - Minor adjustment
problems.
Moderate - Behavior and
emotional problems possibly requiring
long-term therapy.
Severe - Behavior and
emotional problems which seriously interfere
with a child's ability to function, may
require hospitalization.
MENTAL RETARDATION
Mild - Educably retarded;
able to do many "normal" activities
but at slower pace than peers; may achieve
6th - 8th grade level academically; can
attain competitive employment; minimally
self-supporting semi or unskilled level.
Moderate - Trainably
retarded; can attain self-help and routine
simple jobs; may have basic literacy skills;
supervised living and working (sheltered
workshop).
Severe - Severely to
profoundly retarded; can attain some to very
limited self-help and interaction skills with
environment and will need supervised
environment.
LEARNING DISABILITIES
L.D. - Disorder or
disorganization in one or more of the basic
mental processes needed to understand or use
written or spoken language. in other words,
difficult for someone to listen, think,
speak, read, write, spell or do math
problems. Child is not mentally retarded;
should be thought of more as immature.
Children generally have average to above
average intelligence.
Mild - Needs resource
room help.
Moderate - Requires
several years of special education to learn
to compensate.
Severe - requires
long-term special education and will always
have difficulty with one or more learning
areas.

DOCUMENTS REQUIRED FOR ADOPTION
This is a list of documents
required during the adoption process
A VALID ( STATE ) HOMESTUDY, BY A LICENSED
AGENCY
MARRIAGE CERTIFICATE
BIRTH CERTIFICATE ON EACH FAMILY MEMBER
DIVORCE DECREE ( IF APPLICABLE )
MILITARY DISCHARGE ( IF APPLICABLE )
DEATH CERTIFICATE ( IF APPLICABLE )
STATE POLICE CLEARANCE ON EACH MEMBER OF
HOUSEHOLD OVER 18 YEARS OF AGE
CHILD ABUSE CLEARANCE ON EACH MEMBER OF
HOUSEHOLD OVER 18 YEARS OF AGE
PHYSICAL EXAMINATION FROM A CERTIFIED
PHYSICIAN, STATEMENT OF GOOD HEALTH AND
NORMAL LIFE EXPECTANCY. THIS IS FOR ALL
MEMBERS OF HOUSEHOLD
FIVE (5) LETTERS OF REFERENCE. ONE FROM
NEIGHBOR, ONE FROM FAMILY, ONE FROM EMPLOYER,
ONE FROM PLACE OF WORSHIP(If POSSIBLE), ONE
OF CHOICE.
RECENT 1040 RETURN
LIST OF ASSETS AND LIABILITIES
PROOF OF INCOME
PROOF OF LIFE INSURANCE- XEROX COPY OF
FACE OF POLICY- INC. COMPANY NAME AND AMOUNT
OF POLICY
PROOF OF HEALTH COVERAGE- XEROX COPY OF
POLICY OR CARD.
PLEASE NOTE-- INTERNATIONAL
ADOPTIONS REQUIRE MORE THAN ONE COPY OF
CERTAIN FORMS AND ALL PAPERWORK MUST BE
NOTARIZED, CERTIFIED AND AUTHENTICATED.

This is a typical form used by an
agency for gathering initial information from
the prospective adopting family.
INTAKE PAPERWORK
EACH FAMILY WILL HAVE AN INTAKE FORM
ATTACHED TO THEIR FILE.
EACH FAMILY WILL HAVE A COMPLETED INTAKE
FORM BEFORE IT BECOMES ACTIVE
EACH FORM WILL BE CODED AND FILED UNDER
A) PENDING
B) ACTIVE
C) INACTIVE ON HOLD
D) COMPLETED
EACH FILE WILL CONTAIN THE
FOLLOWING DOCUMENTS
A) HOMESTUDY ( ORIGINAL AND PRIOR STUDIES
)
B) APPLICATION
C) CONTRACT
D) BIRTH CERTIFICATE
E) DEATH CERTIFICATES
F) MARRIAGE CERTIFICATES.
G) POLICE REPORT
H) CHILD ABUSE REPORT
I) REFERENCE LETTERS
J) FINANCIAL I NFORMATION
K) CHILDS INFORMATION GIVEN TO FAMILY
L) FINALIZATION PAPERS
M) CHILDS BIRTH CERTIFICATE
N) IMMIGRATION PAPERS
0) STATEMENT OF DISCIPLINE
P) MILITARY DISCHARGE INFORMATION

**This is a typical homestudy,
although the format may be different, these
are the forms we used and many agencies
follow, this is what you can expect from your
interviews and evaluations. If you understand
the format you will do well with the
homestudy report.
ADOPTION HOME STUDY
EVALUATION OUTLINE / GUIDELINE
IDENTIFYING INFORMATION
NAME
ADDRESS
TELEPHONE NUMBER
D.O.B./ AGE / HUSBAND - WIFE
CHILDREN - NAME, M/F, D.O.B., IF ADOPTED
WHERE AND THROUGH WHO
Dates of Contact:
1st
2nd
3rd
MOTIVATION TO ADOPT
Discuss how/why couple became
interested in adoption.
how long have they been looking to adopt.
what have they done to, try to adopt.
What other resources have they explored.
Why did they apply to (name of agency)
What are their motivations to adopt
Are their motives healthy and realistic.
Describe families reaction/support.
Have they had any experience with adoption.
Is there a child or children in the home now.
If adopted, how was It handled.
INFERTILITY STATUS
FACTS: When did the couple find out
about their infertility
Give chronology of medical treatment.
doctoring. etc.
Is there a conclusive diagnosis.
Is fertility unexplained or Inconclusive.
FEELINGS: What are their
Individual feelings about their Infertility.
Do they view infertility as a shared problem
How did they help each other deal with their
feelings
Have they successfully resolved their
infertility, emotionally.
How have they dealt with their Infertility
process ( stages of loss, grieving, etc.)
Are they ready to discontinue efforts to
conceive a biological child, temporarily, at
least
Is more time needed to explore infertility
issues Inc. medical , educational
counseling,, support groups, before turning
toward adoption
OVERALL DESCRIPTION OF COUPLE/
PHYSICAL AND PERSONALITY
(Same for husband and wife)
1 NAME:
AGE
Ethnicity
Height
Weight
Complexion
Outstanding features
Trademarks
Personality Description
Worker's Impression
BACKGROUND INFORMATION
Same for husband and wife
NAME
- Family of origin
- Family profile
a) relationship between parents
b) relationship with parents past and
present
c) relationship with siblings Past
and present
d) significant others
- School experiences/extracurricular
activities
- Relationships with friends/peers
- Adolescence ( Was there any rebellion
)
- Dating experiences
- Separation from home and family
- Special Interests, hobbies, talents,
while growing up
- Previous marriages or serious
relationships that ended
a) Divorce (What were the
circumstances, what was learned from
the experience)
b) Divorce decree must be submitted
to the record
- Separations, deaths, serious
illnesses, or (How handled)
REVIEW COURTSHIP AND MARRIAGE
CHILDREN
Physical/personality description
Describe early growth and development
Activities ( i.e., play groups )
School functioning
Peer relationships
Overall adjustments
If child is adopted:
How has parents handled adoption with child
How does child feel about his/her adoption
How does child feel about the prospect of a
sibling
ADOPTION
- Attitude toward adoption
- Acceptance and comfort with adoption
- Assess degree of openness,
flexibility, honesty
- How will parents handle telling their
child about adoption
- Use of hypothetical situations as a
way of discussing couple's
understanding of adoption issues
- Does the couple accept the concept
that an adopted child feels different
than a biological child
* Help couple to connect how it feels
to be different by using their own
experiences
- An adopted child has feelings of
ambivalence, confusion, split-loyalty
between adoptive and unseen
biological parents. Will couple be
able to recognize and accept that
child may be going through a loyalty
conflict? What can they do to help
their child sort out these feelings?
- Can couple recognize the child's
feelings of rejection by birth
parents? How will they help their
child deal. with this.
- Attitude toward birthparents.
PARENTING EXPERIENCES AND
ATTITUDES
EXPERIENCE WITH CHILDREN (OWN AND
OTHERS)
Can parents individuate children
Can they relate to ages and stages of
development
Can they give and receive affection
How expressed
How have/will they handle(d) child rearing
problems
Time spent with children; quality and
quantity of relationship
ATTITUDES AND EXPECTATIONS
Expected joys and difficulties
What makes a good parent
An effective parent
A responsible parent
Are their expectations and standards
realistic
* judge by their self expectations and level
of standards they set for themselves
Goals for children regarding education,
behavior, values, etc
How will the child effect their lifestyle,
relationship
PLANS WHEN CHILD ARRIVES
Will one parent be at home full time
If not- daycare arrangements
What resources are available to help
What about financial adjustments if one
parent takes leave or resigns
DISCIPLINE
Define discipline - what is the purpose/goal
of discipline
Does couple share similar philosophy of
discipline
How, when and who would discipline
Individual experiences regarding Parental
discipline while growing up
How felt about it
Changes they would make in disciplining their
children
Discussion of corporal punishment
MANY STATE REGULATIONS PROHIBIT
THE USE OF CORPORAL PUNISHMENT. HOME STUDY
REPORTS MUST REFLECT, IN WRITING, THAT THE
COUPLE WAS INFORMED AND UNDERSTANDS AND
AGREES TO NO CORPORAL PUNISHMENT.
RELIGION
Present religion( affiliation, practice,
attitudes, ethical values)
What part does religion play in couple's
life/lifestyle
How do they plan to raise their child
Will child receive religious instruction
If inter-faith marriage, have different
religions caused conflicts, unresolved
issues, etc. How handled
*Ask couple to seriously consider choosing
one religion which they will commit to in
raising their child

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