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1 Adoption Priorities, Inc. is a charitable foster care and adoption agency. We are a Christian, non-profit agency licensed by the State of Texas. The statistics are overwhelming: literally hundreds of thousands of children are orphaned throughout the world. These children are waiting for homes. Some wait due to CPS intervention in which parental rights have been terminated, others wait due to overwhelming poverty in their country. Regardless of the reason: they wait ~ hoping that someone will open their home and heart to them. Open your heart to a child through the joys of adoption! Adoption Priorities, Inc. was founded by adoptive parents who understand the emotional and financial rollercoaster of foster care and adoption. API is governed by a Board of Directors with over 70 years in the adoption field. We are experienced, knowledgeable and caring! Call or us anytime!

2 Our Home Study and Post-Placement Services Home Study Services Since 2005, Adoption Priorities, Inc. has completed over 4,500 home studies for domestic, international, relative and kinship placements and adoptions. We are able to assist your family with nearly any type of home study or home assessment needed. API is able to provide your family with a complete, thorough and accurate home study for a private domestic adoption that will meet the requirements of Texas, ICPC, the placing agency and the court in which the adoption will be filed. API has completed studies for many international adoptions, including, Russia, Ukraine, Kazakhstan, The Republic of Georgia, Bulgaria, Armenia, Nigeria, Liberia, Haiti, Peru, Estonia, Ethiopia, Guatemala, Korea, Vietnam and Taiwan. Because API is a licensed, non-profit adoption agency, we are able to complete home studies for almost any foreign country (except China). API can act as either an exempt or supervised provider for Hague convention adoptions. If you are adopting a step-child or grandchild, API is approved with various court systems to conduct these studies. Completion of the home study usually takes about 6 to 8 weeks however API can expedite the process for your family, if needed. PROCESS: Submit application ~ We will conduct criminal background checks. Sign Agreement and complete Home Study paperwork Home Visit Completion of report by API social Worker Adopt! Post- Placement/Adoption Services After a child is placed in your home, Adoption Priorities, Inc. can assist with post-placement or post-adoption visits and reports as required by your placing agency, ICPC, the foreign country or the court system. An API social worker will visit your home and talk to your family as well as the newly placed child to ensure everyone is adjusting to your new life together. Once this is completed, the social worker will type a report that will report your progress as a family to the appropriate entity. API can also make recommendations regarding post-adoption support services such as therapy/counseling, support groups, education, etc. For questions about our services, please contact us at: (210) or visit our website at Nacogdoches Rd., #351, San Antonio Texas Fees for Home Study, Post-Placement/Adoption Services Application Fee for home study services: $ (non-refundable) Home Study Services: Homestudy fee for domestic, embryo, international adoptions or gestational agreements: $ Homestudy for relative adoptions (step-parents, grandparents, 1 st aunt/uncle): $ Changes to homestudy document after final approval but not constituting an update: $75.00 per occurrence *** If a home visit is required for the change, add: $ Homestudy Update (study is more than 1 year old but less than 2 years and originated from API): $ Homestudy Conversion (updates for studies less than 2 years old and originating from another agency): $ *** Studies that are more than 2 years old from another agency will require a new study Expediting of Home study: $ if needed within 2 weeks of home visit Post-Placement or Post-Adoption Services: Post-placement/adoption visits and reports: $ per report If a separate report is required for a sibling: $50.00 per report Additional Documents, Printing and tary Services: Homestudy Summaries (a one page summary of the conclusion of a study): $50.00 Re-Issuing Homestudy (printing and re-signing additional copies): $25.00 per copy Additional Home Study Agency documents required for adoption: $25.00 per document Printing/Copying of required Homestudy Packet documents: $25.00 Copying adoption file documents for other entities (i.e.: attorneys, courts, etc): $2.00 per page tary Services: $6.00 per document and $1.00 for each additional signature per document All fees paid to API are for services rendered. Once service is completed, regardless of placement outcome, fees are not refundable. Additional fees may be required of other entities such as fingerprinting, training, copies or certified documents, etc. Travel: Travel is included for Adoption domestic and international Priorities, home studies Inc. within 75 A miles licensed, of the API non-profit, office adoption agency Travel is included for relative home studies within 50 miles of the API office. Travel for home studies outside of these ranges or post-placement/adoption reports more than 25 miles from the API office is: $25.00 per hour of travel plus - Cost of travel (i.e. transportation by social worker s car will be billed at.55 per mile, transportation by airplane or rental car and hotels/meals will be cost reimbursed)

3 Application for Adoption and Home Study Services Please submit the original application to API along with the non-refundable application fee of $250, copy of each applicant s driver s license and color photo of all family members. Full Name of Applicant One: Full Name of Applicant Two: Aliases used (including maiden name): Aliases used (including maiden name): Date & Place of Birth: Date & Place of Birth: Social Security Number: Social Security Number: Driver s License Number: include State Driver s License Number: include State Cell Phone Number: address: Highest level of education completed Cell Phone Number: address: Highest level of education completed Occupation Annual Income Occupation Annual Income Employers name, address & phone: Employers name, address & phone: Height Weight Height Weight Hair Color Eye Color Hair Color Eye Color Religion Ethnicity Religion Ethnicity Home Address City State Zip Home Phone Permission to call you at work? Husband Wife By submitting an application with API, you are certifying that all information contained in this application is true and correct. You are also giving permission for API to conduct necessary background checks including, criminal and child abuse clearance checks. Any false, omitted or misleading information can and will be used as grounds to deny application or terminate services. Please initial this acknowledgment Initial App # 1 Initials App #2_

4 Criminal History: List all arrests, convictions, citations regardless of outcome Applicant One Reason for Arrest Date Outcome Sentence Describe Incident Applicant Two Reason for Arrest Date Outcome Sentence Describe Incident Health History: Describe ALL medical diagnoses for which you are receiving medical care or taking medication Applicant One Medical Condition Date of Onset Treatment Medication Prognosis Applicant Two Medical Condition Date of Onset Treatment Medication Prognosis Substance Use/Abuse History: Describe ALL history of substance abuse, drug use, or treatment for substance abuse including alcohol or drugs Applicant One Substance Use/Abuse Date of Use/Abuse Frequency of Use/Abuse Treatment Prognosis Applicant Two Substance Use/Abuse Date of Use/Abuse Frequency of Use/Abuse Treatment Prognosis Mental Health History: Describe ALL history of mental illness, including psychological evaluation or treatment Applicant One Medical Condition Date of Onset Treatment Medication Prognosis Applicant Two Medical Condition Date of Onset Treatment Medication Prognosis List ALL marriages, divorces and deaths of spouses Applicant One Date of Marriage Spouses Name Date of Divorce/Death County State Applicant Two Date of Marriage Spouses Name Date of Divorce/Death County State

5 List all residences for the last 10 years (For Hague International adoptions, list since you were 18) Applicant One Date Address Date Address Applicant Two List the full names, dates of birth, and social security number of all children. Child s FULL Name Date of Birth Social Security Number Does child live in the home? List other household members residing in the home. Name Date of birth Social Security Number Relationship Previous Foster Care or Adoption Experience Circle One Explain & provide agency name & date of services Has either applicant provided foster care services Yes, who? for children in the past? Has either applicant ever adopted a child in the past? Yes, who? Has either applicant applied to provide foster care or Yes, who? adoption services and been turned down? Has either applicant been denied by a court the ability Yes, who? to adopt? Has either applicant had parental rights questioned or Yes, who? revoked?

6 Please complete the services you are applying for: Home Study and Post Placement Services What service is needed: Check one Adoption Homestudy: International Domestic Embryo Gestational Homestudy Update: Homestudy Conversion: Expediting of Homestudy: Name of Placing Agency, if applicable: Post-Placement/Adoption Report: Submitted by: _ Applicant One _ Applicant Two Date Date For Office Use Only: Date Criminal Checks Ordered Date Received Applicant Approved? Applicant Denied? Additional comments: Date entered in Salesforce By:

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