Download application | Christian Chinese Adoption Agency near Philadelphia, Pennsylvania

Request Information / Application
Dear Prospective Adoptive Family, 1. Complete and submit the form below. (Your contact details are confidential and WILL NOT be shared with any third party. A Living Hope Adoption Specialist may call you to ask if you have any questions about the application form)

	* Required Information

* Wife First Name:

* Husband First Name:

* Last Name:

* Street Address



Suite / Apt. #:

* City:

* State:

* Zip:

* Country:

* Phone #:

* Email:

* Are either of you a U.S. citizen?

* Are you married?

How long have you been married?		(Years only)

* Has either spouse been divorced?

No. of wife divorces:

No. of husband divorces:

* Wife Age:		(Years only)

* Husband Age:		(Years only)

* No. of children in home:

* Household Income:

* Do you have a net worth of at least $80,000:

* Are both parents physically and mentally healthy?

If answered no to above question, please explain:

* Has either parent taken medication to treat depression, anxiety, mania neurosis or any other mental disorder within the past 2 years?

* Do both spouses have at least a high school education?

* How did you first hear about Living Hope?

If you selected "OTHER" please specify:

Are you interested in adoption a special needs child?

Questions or Comments:

When finished please click the Submit button.

International Christian Adoption Agency – A Top International Adoption Agency located near Philadelphia, Pennsylvania. For U.S. families wishing to adopt children from China, Honduras, and Taiwan.

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