Application for Domestic Adoption Program Services

We are so honored you have decided to take this step in your adoption journey with Adoption & Beyond.

Be sure you complete the application once started, there is no saving feature. Therefore before you get started have the following items ready for the application:

Family Photo
$950 Agency Program Application

If you have any questions, please contact Steffany at adopt@adoption-beyond.org. Once the application is reviewed, we will contact you via email with approval.

You must use the password you created when completing your consultation form.

Applicant 1

Ap 1 FIRST Name*

Ap 1 Middle Name

Ap 1 LAST Name*

Ap 1 Preferred FIRST Name

Ap 1 Gender Identity*

Ap 1 DOB*

Race/Nationality *

Ap 1 Citizenship*

Ap 1 Occupation*

Ap 1 Cell Phone*

Enter International

Ap 1 Alternate Phone Number

Enter International

Applicant 1/ Email *

Ap 1 Preferred Contact Method

Applicant 2

Ap 2 FIRST Name**

Ap 2 Middle Name

Ap 2 LAST Name**

Ap 2 Preferred FIRST Name

Ap 2 Gender Identity**

Ap 2 DOB**

Race/Nationality **

Ap 2 Citizenship**

Ap 2 Occupation**

Ap 2 Cell Phone**

Enter International

Ap 2 Alternate Phone Number

Enter International

Applicant 2/ Email**

Ap 2 Preferred Contact Method

Family Address

Street Address

Street Address Line 2

City

State/Region

Enter Region

Zip Code

Shipping Address

Only enter Shipping Address if it is different from the Residence Address.

Shipping Street Address

Shipping Street Address Line 2

Shipping City

Shipping State/Region

Enter Region

Shipping Zip Code

Marriage Information- If applicable

Marriage Date

Family Photo

A close-up Family Photo with all members living in the household.

Family Photo*

Persons in Family Home

Enter all persons (living) in home except Applicant 1 and Applicant 2.

Persons in Family Home

Statement of Understanding

I affirm that by submitting this Application for Services the information provided is true, complete, and accurate. I further understand that failure to provide accurate or to withhold information may result in the termination of services at any time. At the discretion of the Executive Director, additional information may be requested to determine approval. I have read and understand Adoption & Beyond, Inc.'s policies and procedures.
If a Prospective Adoptive Family is applying for subsequent adoption services, the timeliness of post-adoption reports and the behavior of the family during the previous adoptions will be taken into consideration in determining approval of the application.
I understand that approval of this application does not guarantee approval of a home study or any other reports or the placement of a child. I agree to ask questions to resolve any concerns or uncertainty about adoption or the adoption process.
Please note when communicating electronically, this form of communication is not always confidential. Since electronic communication is not totally secure and sometimes unreliable, we try and use security safeguards when communicating electronically and urge you to do the same. If you choose to send electronic communication, please be brief and don’t include anything you wouldn’t want others to read just in case there is a security breach.
I acknowledge that Adoption & Beyond uses third-party software to track my adoption efforts and to seek my feedback following services.
By submitting this application for Adoption & Beyond's Adoption Program, Prospective Adoptive Family authorizes and consents to Adoption & Beyond, Inc. and its representatives to obtain, review, discuss, and/or confirm information with any individual who would know Prospective Adoptive Family’s circumstances whether past or present for Adoption & Beyond, Inc. to make a fully informed decision regarding Prospective Adoptive Family’s case.

If you have any questions regarding this application please call 913-381-6919 Ext. 5 or e-mail adopt@adoption-beyond.org. Thank you!

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