Heaven Sent Children Adoption

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1 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / Thank you for your inquiry concerning HEAVEN SENT CHILDREN and the adoption assistance that we provide. Heaven Sent Children has been placing children in adoptive homes since Our team of dedicated workers are touched by adoption either as adoptive parents or adult adoptees. This experience brings a unique understanding of the adoption process, the challenges that adoptive parents face, and issues that may arise for adoptees throughout their life. We enjoy uniting families and children and take pride in the work that we do. Heaven Sent Children also offers excellent education and support to our clients. Our education offerings for clients include monthly adoption education classes, monthly youth activities, cultural and social events, and access to our adoption library. Each adoptive applicant is expected to complete 10 hours of education prior to completion of the home study, unless the country from which they are adopting requires more. Enclosed is information that will be beneficial in helping you make a decision on the child placement service that you will choose. If you decide that our agency is right for your family, please complete and return the following documents: 1. Application 2. Adoptive Services Contract 3. General Release Form 4. Fee Agreement 5. Adult Medical Form (one for each adult in the home) 6. Child in the Family Form (one for each child in the home) 7. Financial Information Form 8. Employment History Form 9. Finger Print Information Form 10. Check in the amount of $ which will be used for TBI/FBI fingerprinting and background clearances for the adoptive parents. Once our office is in receipt of the above mentioned items, your application and supporting documents will be reviewed by the Case Work Director. If your application is accepted, you will be assigned a social worker and she will contact you to schedule your first home study visit. The decision to adopt is a very important and personal one, and we at Heaven Sent Children will be looking forward to helping you find the answers that are right for your family. We look forward to hearing from you soon. Sincerely, Heaven Sent Children Adoptions

2 ADOPTION REQUIREMENTS The prospective adoptive family should be of good moral character, have a stable nurturing marriage (where applicable), and a commitment to instill in their child a knowledge and pride in the child s native culture and adoption. Also required: Best practice dictates a minimum of two (2) years marriage. Single applicants are accepted. However, if adopting internationally there are no countries which accept homosexual applicants. Good physical and mental health with no physical condition, disease, or handicap that would interfere with one s life span or ability to parent At least one parent must be a United States citizen. Both parents must be over 21 years of age and less than 60 years of age. If considering international adoption, United States Citizenship and Immigration requires that at least one parent must be over 25 years of age. Adoptive parents should not be more than 55 years of age. Foreign countries may have requirements that older parents must adopt older children. The home study must reflect a plan for guardianship of the child in the event of the parent or parents death(s) or permanent disability preventing continuation of parental responsibility. The youngest child in the home should be at least 12 months of age. If the last child joining the family was adopted, the child must be in the home at least 12 months before proceeding with a new adoption. Adequate finances should include: Stable employment history. Sound money management including savings & a minimum of $10,000 life insurance on both parents. Sufficient income to raise a child to maturity. Medical insurance to cover the child upon arrival, including pre-existing conditions. Sufficient funds to cover immediate cost of adoption or definite budget plan to have it on hand when needed. At least one parent should take off work for an adequate amount of time at arrival of child to enable a secure adjustment. When returning to work, a childcare plan must be provided that will be acceptable to the social worker. All fees quoted reflect current costs of adoption of a child. Due to fluctuating prices in all areas, this amount is subject to change at any time. You will be expected to pay current fees at the time of your referral for domestic or international adoption. Post placement supervision of adoptions ARE REQUIRED as an agency policy. The number and frequency of the visits depend upon the State or Country of placement and are typically a minimum of three (3) visits and written reports by the agency Social Worker. February 2012

3 Heaven Sent Children Adoption a division of The Center for Family Develpment Application for Adoption 1800 S. Rutherford Blvd, Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville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6 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / ADOPTIVE SERVICES CONTRACT This contract is entered into between HEAVEN SENT CHILDREN and prospective adoptive parents: For the adoption of: (Please state child s name if known. If the child is not known at the time of completing this contract, please write child unknown ) AGENCY RESPONSIBILITIES HEAVEN SENT CHLDREN through its undersigned representative agrees: 1. To provide clients with information, forms, and materials needed to aid their completion of agency, state government, and foreign country requirements. 2. To advise clients upon request, of the status of their case, court reports, billing, home visits, etc. 3. To perform the services of adoptive home study, pre and post adoption counseling, adjustment assistance, and provide the appropriate parties with a written report in a timely manner. 4. To, in accordance with Tennessee State Law, report any reasonable suspicion of child abuse or neglect. I/We as adoptive parents understand and agree: RESPONSIBILITY OF THE ADOPTIVE PARENT(S) 1. To complete all forms, providing all requested information in an honest, complete, and timely manner. 2. To pay fees stated in the fee agreement based on what type of adoption we are pursuing. 3. To request clarification from agency representative, should any requirements appear unclear. 4. To make our home, and property accessible for examination by the agency representative, upon request. 5. To report all significant changes in living circumstances, this includes addition of family members, change of residence, and change in marital status, change of employment and acceptance of a child for adoption from another source. By affixing signatures hereto, both parties affirm the terms of the contract and confidence in each other to fulfill the responsibilities thereof. Entered into this day of 20 Adoptive Father s Signature Adoptive Mother s Signature Social Worker Case Worker Director: August 2010

7 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / GENERAL RELEASE In consideration of our participation in the HEAVEN SENT CHILDREN adoption program, we release and discharge HEAVEN SENT CHILDREN, its employees and those contracted by HEAVEN SENT CHILDREN rom any and all causes of action, claims, demands, damages, costs, loss of service and expenses we may have or which may arise in the future as the result of our attempt to adopt a child. Our release and discharge includes, but is not limited to, the potential claims set forth below: Any claims we may have for disruptions of the adoption. Any claims we may have which are caused by actions or policies implemented by the United States or foreign governments and which may result in additional procedures or termination of the adoption. Any claims we may have for difficulties we may encounter with foreign or domestic attorneys and any claims we may have for emotional injuries, which we suffer as a result of the adoption process. We acknowledge that all expense for foreign and domestic attorney s fees, which are incurred in connection with the adoption process are our responsibility. HEAVEN SENT CHILDREN and its employees are released and discharged from any and all liability for such fees. We release HEAVEN SENT CHILDREN and its employees from any and all claims we may have for any mental and physical health problems, which the child may have or develop in the future. We acknowledge that the office of HEAVEN SENT CHILDREN does not make the decision regarding specific matching of children and adoptive parents. We further acknowledge that we have had an opportunity to consult with our own attorney regarding this release and no promise contrary to the terms of this release has been made. We agree to pay all fees charged by HEAVEN SENT CHILDREN according to the terms set forth in the financial agreement. Any amounts owed under the agreement are due even if the adoption is terminated. Further, if the adoption is disrupted or terminated, we do not expect to receive a refund of any of the fees we have paid. We agree that if any parts of this release are found invalid, that the balance shall continue in full legal force and effect. We have read and understand the forms and risks associated with any adoption and the terms of this release form. We are signing this release voluntarily. In consideration for the services therefore rendered and to be rendered to us by the office of HEAVEN SENT CHILDREN in connection with referral and adoption proceedings on our behalf, we do hereby agree to release, forever discharge, and hold harmless HEAVEN SENT CHILDREN, all employees, all contractors and volunteers, the respective orphanages, escorts who deliver or transport the minor child, and all agents and employees of the foregoing from any and all damages which may be suffered or sustained by us in connection with the lack of care, or care, representation or information given about the child, escort, delivery, transport or conveyance of said minor to us. ADOPTIVE FATHER: DATE: ADOPTIVE MOTHER: DATE: Subscribed and sworn to before me this day of, 20 NOTARY PUBLIC AT LARGE August 2010

8 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / Domestic Adoption Fee Schedule February 2012 Application Fee: $ This fee is used for TBI/FBI clearance, local background clearances, and any out of state background child abuse registry checks for the prospective adoptive parents. If there are additional adult members living in the household over the age of 18, there will be an additional $ fee per adult. Domestic Adoption Home Study Fee: $1, This fee is for the home study investigation for adoptions of children within the State of Tennessee and other States using ICPC services. Heaven Sent Children families that are completing a subsequent adoption with the agency will pay $1,000 for the home study and application if the process begins within 24 months after finalization of their previous adoption. Domestic Interagency Coordination Fee: $ Interagency coordination fee is charged when we are coordinating an adoption domestically with another placing agency such as American Adoptions, Heart of Adoption, Adoption Service Associates, etc. Expedited Home Study Fee: $ This fee is in addition to the home study fee. This is applicable for families that are facing an urgent need for a home study due to the pending placement, imminent birth of a child, or pending court date for adoption. Mileage Fee: A mileage fee of $0.46 per mile is charged for traveling total distances over 100 miles (round-trip) from the Heaven Sent Children offices. Mileage is charged for the distance beyond 100 miles. This fee can vary based on the State of Tennessee s adjustment of mileage rate. Home Study Update Fee: $ Adoptive home studies must be updated annually to reflect changes that have occurred in the past year. A visit is conducted with the family, safety inspection of the home, complete new background checks, TBI/FBI fingerprinting, medicals, and various verifications to remain current in the program. Post Placement Supervision Fee: $ On average there are 3 visits with a family over a 6 six month period after placement of a child with an adoptive family. Reports generated from the visits detail the child and family s adjustment, health of the child, and development. Please be aware that in cases of Interstate Placement additional visits may be required by the placing state to meet requirements for adoption. This fee is per visit. Heaven Sent Children Placement Fee: Agency Domestic Placements are subject to a sliding fee scale which is based on income of the adopting family at the time of match with a birth mother. The fee covers a variety of general overhead

9 and advertising expenses for Heaven Sent Children/TCFD. Half of the fee is due at the time of match and will be held until after the birth of the child and surrender of birth parents. If the placement does not occur all monies from the Placement Fee is fully reimbursed to the family. The remainder of the fee is due once the birth mother has completed the surrender and the 10 day revocation period has expired. Family Income: Under $49,999 $ 10, $50,000-$74,999 $ 12, $75,000 - $99,999 $ 15, $100,000 - $199,999 $ 18, Over $200,000 $ 21, Home Study Review Fee: $ This fee is charged when Heaven Sent Children is coordinating an adoption with a family that had a home study completed by another licensed home study provider. Birth Parent Social Work Fee: $5, These fees are designed to cover birth mother counseling/support, birth parent termination of rights, and assistance with the legal process. The fee is due after the match with a prospective birth mother or prospective adoptive child and due with the match agreement. Should a placement not occur due to the birth mother s decision to parent you will be charged for the work completed in your adoption case and refunded the balance. Birth Mother Counseling $ Legal Work $2, Birth Mother Social Medical History (and Father if available) Birth Mother Surrender of Parental Rights Birth Father or Legal Father Surrender of Parental Rights Birth Father Waiver of Notice and Interest (if available) At-Risk Fee: $2, Estimated birthmother expenses are $2,500 to be used towards allowable expenses incurred during her pregnancy and following the birth of the child. This fee is paid at the time of matching with the birthmother. Please note that the fee may exceed this amount depending upon the birth mother s situation and allowable needs. Once these fees are expended they will not be refunded. However, should the full amount not be used the remainder will be refunded to the family. A spreadsheet of the fee expenditures and receipts will be made available to the adoptive family at the close of the revocation period. Birth Mother Medical Expenses: This fee is applicable in the event that the birth mother does not have health insurance or has out-ofpocket expenses that were not covered by her insurance. This fee covers prenatal care, delivery and post-delivery, as well as the adoptive child s medical expenses. The nature and scope of the medical services needed and the costs of same are entirely unpredictable due to the numerous and varied unforeseeable medical circumstances that may arise. The fee will be estimated depending upon each unique situation and family will be presented with this information at the time of match so that they may make an informed decision. It is important to remember that fees may be greater or less than the original estimate. This fee will be payable after termination of birth mother s rights and placement of the child. Families will receive proof of medical expenses.

10 Additional Fees: $1, Additional expenses for mileage at $.46 a mile, hotel, meals other incidentals necessary to insure placement is not to exceed $1, The adoptive family will receive an itemized bill prior to the signing of the placement agreement (after birth parent relinquishment) if these expenses should occur. We acknowledge that all fees are subject to change in the future. Adoptive Father Adoptive Mother Date Date The named couple, and, duly sworn on oath, state that they have read the foregoing, and know and understand the contents thereof. Subscribed to and sworn to before me on this day of, 20. Notary Public My commission expires:

11 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / International Fee Schedule August 2011 Application Fee: $ This fee is used for TBI/FBI clearance, local background clearances, and any out of state background child abuse registry checks for the prospective adoptive parents. If there are additional adult members living in the household over the age of 18, there will be an additional $ fee per adult. International Adoption Home Study Fee: $1, This fee is for the home study investigation and coordination of services with United States Citizenship & Immigration Services (USCIS) for a child born in a foreign country. Please note that all fees for USCIS are payable directly to that agency and they are not reflected in this fee schedule. Interagency Coordination Fee: $ This fee is charged when we are coordinating an adoption with a licensed placing agency such as Americans for International Aid & Adoption (AIAA), Children s Home Society & Family Services (CHSFS), Lifeline Children s Services, etc. Home Study Update Fee: $ Adoptive home studies must be updated annually to reflect changes that have occurred in the past year. A visit is conducted with the family, additional safety inspection of the home, complete new background checks, TBI/FBI fingerprinting, medicals, and various verifications to remain current in the program. Mileage Fee A mileage fee of $0.46 per mile is charged for traveling total distances over 100 miles (round-trip) from the Heaven Sent Children offices. Mileage is charged for the distance beyond 100 miles. This fee can vary based on the State of Tennessee s adjustment of mileage rate. Post Placement Supervision Fee: $ On average there are a minimum of 3 visits after placement of a child with an adoptive family. Reports generated from the visits detail the child and family s adjustment, health of the child, and development. This fee is per visit. Please be aware that each country has specific requirements on the number and frequency of post placement visits required. Countries may chose to change these requirements after placement and families must follow these new requirements to ensure the continuation of adoptions from that country. We acknowledge that all fees are subject to change in the future. Also, we understand that fees for USCIS, the placing adoption agency, dossier authentication, travel, and in-country expenses will be necessary to facilitate our adoption and these fees are not payable to Heaven Sent Children. Adoptive Father Adoptive Mother Date Date

12 The named couple, and, duly sworn on oath, state that they have read the foregoing, and know and understand the contents thereof. Subscribed to and sworn to before me on this day of, 20. Notary Public My commission expires:

13 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / ADULT MEDICAL HISTORY FORM A. Name: A full family history is required as an essential part of the appraisal of a home and family for the placement of a child. B. Family medical history: Relation Age Health Status Age at Death Father: Mother: Brother(s): Cause of Death Sister(s): Children: What is your birth order? Has any relative listed above had? Alcohol/drug addiction Blood disorder: Cancer: Diabetes: Epilepsy: HIV: Heart disease: Hepatitis: Hypertension: Kidney disease: Mental Illness: Mental retardation: Physical handicap: Tuberculosis: Please complete next page

14 C. Individual Health History: Check as applicable whether you have now or have ever had: Alcohol/drug addiction: Hypertension: Anemia: Infertility: Arthritis: Kidney Disease: Asthma/Allergies: Mental Illness: Blood Disorder: Migraines: Cancer: Multiple Sclerosis: Diabetes: Thyroid Disorder: Epilepsy/Convulsions: Tuberculosis: HIV: Ulcers: Heart Disease: Venereal Disease: Hepatitis: Other: Hair: Eye Color: Complexion: Racial Group: Height: Weight: List and give dates of any operation, injuries or illness, including childhood, requiring overnight hospitalization or medical treatment: Doctor/Hospital/Clinic Date of Treatment Have you participated in personal or marriage counseling? Yes: No: If yes please describe: Do you have any history of alcohol or substance abuse? Yes: No: If yes, please describe: Have you ever received psychological/psychiatric treatment? Yes: No: If yes, please describe: Are you presently under medication(s)? For what reason? Name of Medication: PHYSICIAN S NAME: PHYSICIAN S ADDRESS: I hereby authorize any physician, mental health facility, therapist, or medical facility to give to Heaven Sent Children any information needed in their investigation. Applicant s Signature: Date: August 2010

15 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / CHILD IN THE FAMILY This information is to be collected for EACH child in the family. One form per child is expected Full Name of Child: DOB: Age: Sex: Race: Hair Color: Does this child reside in the adoptive home? Yes: No: If no, where is this child s residence? Is this child biological? Yes: No: Is this child adopted? Yes: No: If adopted, date of adoption: From what state and/or country did the child originate? What state was adoption finalized in? Eye Color: If this child is of school age, what school does he/she attend? Grade: Describe your child s personality: What are your child s interests, hobbies, or extracurricular activities? Does this child have any learning problems? Yes: No: If yes, please describe: Does this child have any health problems? Yes: No: If yes, please describe: Does this child have a history of: ADD ADHD Heart problems Alcohol/drug addiction Allergies Anemia Asthma Behavioral problems Cancer Criminal history Emotional problems Epilepsy/seizures Yes No Yes No HIV/AIDS Hearing problems Hepatitis Kidney disease Mental disease Mental retardation Orthopedic problems Physical abuse Sexual abuse Sight problems Tuberculosis Fetal alcohol syndrome Other medical problems: Continue on next page

16 Does your child have any physical disabilities? Yes: No: If yes please describe: If yes does child receive any services or assistance for disability? Yes: No: If yes please describe: Has this child ever been hospitalized overnight? Yes: No: If yes: Date Treatment Is this child receiving medication? Yes: No: If yes, for what reason? Dosage: Has this child received psychiatric or psychological treatment? Yes: No: If yes, date(s) of treatment: Location: Diagnosis: Provided by: Have you discussed your adoption plans with this child? Yes: No: If yes, please describe his/her feelings: How will these feelings be handled? Are there any other special circumstances regarding this child? Yes: No: If yes, please describe: If this child is an adult: What is his/her highest level of education? What is his/her employment occupation? Is this child married? Yes: No: Is this child a parent? Yes: No: If yes, please briefly describe family demographics: Please describe your relationship with your child: February 2011

17 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / EMPLOYMENT HISTORY NAME: List your present employer and go back in descending order for the last ten years work experience: Employer Position From To Signature: Date: NAME: List your present employer and go back in descending order for the last ten years work experience: Employer Position From To Signature: Date: August 2010

18 FINANCIAL INFORMATION FAMILY NAME: This information is needed to provide us an understanding of how you manage your income, your financial stability, and as a part of the total picture of your family life. Many items listed below may not be met on a monthly basis, you may find it convenient to calculate the yearly amount and divide by 12. For items that do not apply list n/a or not applicable. MONTHLY FAMILY INCOME Take Home Pay from husband s employment Take Home Pay from wife s employment Additional Income (describe) Total Deductions (describe) $ $ $ $ $ Does anyone in this family receive income from a government subsidized program? Yes: No: MONTHLY FAMILY EXPENSES: Food $ Home Maintenance $ Clothing $ Child Care $ House/Rent $ Education $ Utilities $ Car Payment $ Telephone/Cell Phone $ Car Operations $ Health Bills $ Car Insurance $ Church/Charity $ Other Insurance $ Savings $ Entertainment $ Other $ Child Support $ Name and address of all bank accounts, types, and average balances: Have you ever filed bankruptcy; been involved in a collection problem, or experienced identify theft? If yes, please explain: INVESTMENTS: Do you participate in an IRA, 401K, or other retirement plan? If yes, name and description of the accounts as well as estimated balances of each account: List all creditors with balances over $1,000.00: Creditor $ Financed $ Payment When Began When Paid We understand all credit information will be checked by a credit service and the above information is true to the best of our knowledge. SIGNATURE: SIGNATURE: Date: Date: August 2010

19 "#$%&'('#$)*$+,'-.)#,$ /,-01&)&2.-&3"#'4)56#771&58.4) 9.)&,+:#'); /,-01&)&<77'&44 /#)=5>).)&5?#0 >,A#.1>&AB'#)=2B-C&' (1.A&,+:#');D/#)=5/,B$)=5>).)&E <1#.4&4D<$=,);&'1&%.12.-& 6.#7&$2.-&,'6.''#&72.-&E F&#%;) G&#%;) H&$7&'I>&J /#)#K&$4;#0 "#$% ()* +,-%./ &%'#$% F.#'/,1,' L=&/,1,' M.A& $4% *'%.56#37385#31.*$#9:#3;#,5<% 0$#6: $#6:1.*>.56#3*'%.56#3 B#2#55#31.+,-%.=#65>5679$#38%. C%81.*4A4.3 B#D%$ B59E#3561.F#,531 "4$,561$1. G-5,%H313B59E#356I G-5,% +,-%./ +,-%./ 0#$8

20 ADOPTION CHART There are 4 basic types of adoptions: PUBLIC AGENCY, DOMESTIC PRIVATE AGENCY, INTERNATIONAL & INDEPENDENT ADOPTIONS. The following chart sets out the requirements, costs, and timing, etc. To decide which type of adoption is best for you, think about the type of child you would like to adopt (infant, older child, sibling group, child from another country, child with special needs, etc.) ADOPTION DEFINING CHILDREN APPROXIMATE WHO CAN TIME TO TYPE ADOPTION AVAILABLE COSTS ADOPT ADOPT Public an adoption starts slowly, but directed children with special from $0 to $2,000 flexible eligibility for Agency and supervised by a needs (are often (depending on requirements for those who have an Adoption state or local harder to place due the state, up to adoptive parents; updated home Department of to emotional or $2,000 of on a case-by- study, placement Human Services, physical disorders, "non-recurring" case basis, will can occur as soon Social Services, age, race, adoption costs consider single as a few months Human Resources, membership in a for eligible parents, parents after selecting or Health and sibling group, special needs over the age of a child Welfare, or backgrounds); children may be 40, parents who Child and Family rarely infants. reimbursed. have other Services etc. children, parents w/low incomes. Private Agency an adoption sometimes handle $6,000 to $25,000; agencies may a few months Adoption directed and special needs lower for recruit parents to a few years supervised by children; more special needs based on a privately commonly associated children; some race, religious funded, licensed with younger agencies have affiliations, etc; for infant adoption agency. children & infants. sliding fee adoptions, scales. birth mother often chooses. International process of There are many $25,000 to $40,000 depends on six months to Adoption adopting a child countries that (varies by agency and country several years who is not a allow their children country; travel requirements; some depending on the U.S. Citizen, to be adopted by and travel-related will accept child's age and which is U.S. citizens These expenses may single parents, health, and the accomplished countries are in be additional). most prospective country's through an Africa, Asia, Europe parents are political climate. international & Latin America; between 25 and adoption agency. ages range from 45 years old. infant to teens, health conditions vary. Independent an adoption usually $5,000 to $40,000 birth mothers variable; as long Adoption initiated by infants. (includes prospective typically choose as it takes to find a prospective parent's cost of the adoptive parent birth mother who adopters & finding birth mother preferences tend will see the completed with help & birth mother to run toward process through from an Attorney or expenses & Attorney younger, affluent to finalization. Counselor. fees. married couples.

21 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / HEAVEN SENT CHILDREN S DOMESTIC ADOPTION OPPORTUNITIES Domestic adoptions - children are typically newborn Caucasian, African-American, or a bi-racial ethnicity. The birth mother may or may not have received prenatal care, and some birthmothers have continued to smoke or use drugs and alcohol throughout the pregnancy. Adoptive families can be matched with a birthparent during the 2 nd or 3 rd trimester of the pregnancy or after the birth. The match process involves the birthparent reviewing the family s profile and possibly meeting the family face-to-face. Being matched does not guarantee a placement as the birthparent may change their mind. The adoptive family typically receives an official referral of the child following the birthmother s surrender during the ten-day revocation period. The adoptive family will receive medical and social history at time of referral, and information on whether or not it is a legal risk placement based upon the status of the birthfather. The wait time can be 6 months to 2 years or more dependent upon being matched with a birthparent. Interstate adoptions - once your home study is completed and approved, it can be submitted to a placing agency in another state. Heaven Sent Children families have had successful placements with a number of out-of-sate placing agencies. Children are typically newborn and infants of Caucasian, Hispanic, African-American, or other ethnicity. Wait times for interstate adoptions can be 12 months or less. Adoptions are generally open or semi-open, with occasional closed adoptions. Each placing agency has its own criteria regarding age, marital status, and health history of adoptive applicants. Agency-Assisted adoptions - when an adoptive family has an identified birth parent, Heaven Sent Children can assist in all or some aspects of the adoption. This includes counseling with the birthparents, attending the birth, advocating for the birthparent at the hospital, taking the social and medical history, arranging the court surrenders, obtaining a waiver from alleged birthfathers, and assisting the adoptive family and birth family in making an adoption plan. Public Agency adoptions adoptions of children in state foster care across the United States. Children are typically 5 years of age to teenagers and are from all ethnic backgrounds. Children may have identified special needs that the family should be prepared to meet. With an approved home study and completion of PATH classes (for most states), a family is eligible for placement. There are generally few restrictions on family criteria. Your Heaven Sent Children social worker can assist you in identifying available children to be considered for match. February 2012

22 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / PROCEDURE FOR HEAVEN SENT CHILDREN DOMESTIC AGENCY PLACED ADOPTION 1. Completion of a formal home study. 2. Completion of a birth parent letter. 3. Submission of a small photo album to be shared with the birth parents. 4. Once the family is approved, family waits for a child referral. Length of time for referrals varies and is dependent on the decisions of the birth parents. 5. Families may choose to work with a larger placing agency to increase their opportunities for domestic placement. Your Heaven Sent Children Social Worker can share information on out-of-state adoption agencies that will accept your home study and assist with an interstate adoption. 6. Upon acceptance of the child referral, processing of the child s documents for adoption is joined with the parent s documents. 7. Arrangements will be made by the agency for placement of the child in the adoptive home. 8. Post adoptive supervision begins within 1 month of placement with a visit to the home. A minimum of 3 visits occur over a six month time frame. However, if a child originates from another State the laws of that State may require more visits. 9. Finalization of the adoption can be completed once post placement supervision is finished. August 2010

23 OUR NETWORKING AGENCIES FOR DOMESTIC ADOPTION: Adopt U.S. Kids Adoption Exchange Association 8015 Corporate Drive Suite C Baltimore, MD Specializes in adoptions of children of varying ages from the Foster Care system. Many sibling groups are available, but families must be open to working with children with special needs and children have originated from situations where there may be abuse and/or neglect. American Adoptions 9101 West 110 th Street 2 nd Floor Suite 200 Oveland Park, KS ADOPTION Specializes in working with birth mothers across the United States and placing with approved waiting families. Heart of Adoptions, Inc. 418 West Platt Street, Suite A Tampa, FL (800) This Florida based agency works with birth mothers in that State and will work with approved waiting families from across the United States. We are open to working with other interstate adoption agencies. Please contact us regarding any agency you wish to use so that we can verify that they are a licensed child placing agency. August 2010

24 Heaven Sent Children Adoption a division of The Center for Family Development 1800 S. Rutherford Blvd., Suite Eastside Square 1015 Madison Street Murfreesboro, TN Shelbyville, TN Clarksville, TN / FAX 615/ / / / PROCEDURE FOR INTERNATIONAL ADOPTION Completion of a formal home study. During the home study process your Social Worker will help you determine which country program is best for your family. Important considerations in choosing a country are: the type of child one wishes to adopt, time frame for the total adoption process, travel requirements for the adoptive family, and costs of the various programs. Family makes application to United States Citizenship and Immigration Services (USCIS) to obtain approval to bring an orphan from the country of your choice to the United States. Your Social Worker will assist you with this process. Formal application to the placing international adoption agency. Following approval of the application with the chosen placing agency, Heaven Sent Children submits the international adoption home study and supporting documents from our agency to aid in facilitation of your adoption. A dossier is prepared for the foreign country to aid in the court proceedings. The dossier is composed of documents such as birth certificates, marriage certificates, employment letters, and medicals. Each country has its own dossier requirements. The total number of documents may vary from Each document must have original signatures, notarization, certification, state authentication, and in some cases State Department and Embassy authentication for the placing country. Your Social Worker can guide you through this process or you may utilize Heaven Sent Children s dossier services to prepare all documents for your family. Once the dossier is submitted to the placing country the family awaits a child referral; length of time for referrals varies and is dependent on the referrals of available children and the type of child the family wishes to adopt. Upon acceptance of the child referral, processing of the child s documents for adoption is initiated in the country and joined with the parent s documents (dossier). Family is notified to make arrangements for travel once the child s documents are prepared. The timing for travel also varies dependent on the status of the child s documents and the overseas authorities. Families may receive notice to travel in as short as 1 week or up to 6 weeks in advance. Family travels to their child s country of origin to complete the legal adoption process of that country. However, some countries may require more than 1 trip to complete the adoption proceedings. Time in the country may vary from 1-5 weeks. If only one parent travels, you will need to re-adopt in your state. Hotels, i- country travel and interpreters\ are arranged for the family by the placing agency. The family arrives in the country and will travel to their child s region to process the adoption. Once the adoption is completed, the family completes the USCIS processing at the United States Embassy to secure their child s visa approval. Parents and child return to the United States. Begin the process to obtain your child s social security number, certificate of citizenship, complete the Tennessee re-adoption (if applicable), and complete all post placement supervision as required by the placing country. Please note that these reports are crucial to ensure continued adoptions of children. Failure to comply with the post placement supervision requirements can jeopardize future adoptions from that country and Heaven Sent Children s ability to place children from that country.

25 OUR NETWORKING AGENCIES FOR INTERNATIONAL ADOPTION: All Blessings International 3808 South Griffith Avenue Owensboro, KY (270) Specializes in adoptions from: D. R. Congo, Haiti, Hong Kong, Latvia, and Taiwan. Americans for International Aid & Adoption (AIAA) 2151 Livernois,Suite 200 Troy, MI (248) Specializes in adoptions from: Korea, Bulgaria, and Hungary. Children s Home Society & Family Services (CHSFS) 1605 Eustis Street St. Paul, MN Specializes in adoptions from: Burundi, Columbia, Costa Rica, Ecuador, Ethiopia, Honduras, India, Marshall Islands, Korea, and Russia. European Adoption Consultants (EAC) Alameda Drive Strongsville, OH (866) Specializes in adoptions from: Russia, Haiti, Honduras, Congo, Ghana, Colombia, Uganda, India, and Bulgaria. The Gladney Center for Adoption 6300 John Ryan Drive Fort Worth, TX (817) Specializes in adoptions from: Bulgaria, Colombia, Ethiopia, Honduras, Russia, and Taiwan. Good Hope Adoption Services, Inc. 900 Route 134, Suite 3-30 South Dennis, MA (508) Specializes in adoptions from: Kazakhstan, Russia, and Ukraine Love Beyond Borders 4155 E. Jewel Avenue, Suite #800 Denver, CO (303) Specializes in adoptions from: Ethiopia, Haiti, Kazakhstan, DR of Congo, and Russia

26 Lifeline Children s Services 2908 Pump House Road Birmingham, AL (205) Specializes in adoptions from: Poland, Colombia, Ukraine, Peru, Uganda, Hungary, Bulgaria, Costa Rica, Haiti, Taiwan, Dominican Republic, Ethiopia, and Congo. Our agency will network with new international agencies. If you are interested in working with an agency that is not listed, please contact us. December 2012

27 INTERNATIONAL ADOPTION PROGRAMS BULGARIA We partner with Americas for International Aid & Adoption (A.I.A.A.), The Gladney Center for Adoption and Lifeline Children s Services. This program is open to married couples and single females. Children are at least one year of age at the time of referral. The adoption process requires two trips. The first trip immediately follows your referral and is five days in length. The second trip is weeks later following court to bring the child home. Please contact one of these agencies for more information at and COLUMBIA We partner with Children s Home Society & Family Services (CHSFS) and The Gladney Center for Adoption for this program. Couples must be married at least 3 years. Couples years of age with no children and couples with one child may adopt infants. Couples up to 55 years of age and single heterosexual women, can adopt a child 7-15 years of age. Referral can take one year after submission of the dossier for an older child. For toddlers and infants it can take 2-3 years. Travel after referral is within 5-9 weeks. Both parents are required to travel to initiate the adoption but one parent may leave after 10 days. The incountry stay is approximately 6-7 weeks. Please contact one of these agencies for more information at ETHIOPIA We partner with Children s Home Society & Family Services (CHSFS), The Gladney Center for Adoption, and WACAP for this program. Infants up to school age are available for adoption. Currently, due to the high popularity of Ethiopia, CHSFS is only accepting applications for families interested in adopting a child 24 months + in age. Adoptive parents should be between the ages of 25-50, married couples, must be in good health and also show sufficient income to parent the child; no single men or women. First time parents must be open to gender. After your study is accepted at CHSFS wait time is approximately 3-22 months. Travel occurs 5-8 months after referral. Ethiopia requires two trips; the first trip is expected to be 4 days in country and the second trip is expected to be 6 days in country. Please contact ones of these agencies for more information at HAITI We are partnering with All Blessings International and Lifeline Children s Services for this program. Couples who have been together 10 years or more and single women can apply. Individuals must be between years of age. Infants and older children are available for adoption with referral time around 18 months after submission of dossier. Two short trips are required, the first for 5-6 days and the second for 1-3 days. Visit one of these agencies and for more information. KOREA We partner with Americans for International Aid and Adoption (AIAA) and Children s Home Society & Family Services (CHSFS) for this program. Married couples of at least three years and between the ages of may apply. There must be no more than a 9 year

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