|
Please complete the application below and click submit. Your application will be
reviewed and, upon acceptance, added to the list within 24 hours of receipt.
The information given below qualifies individuals for participation in the
mailing list. This information will never be released or sold to any
individual or company. It is needed to ensure that only
individuals interested in adoption, who are not adoption Professionals, are
admitted to this online support group. Thank you.
BEFORE YOU SUBMIT Please recheck your e-mail address to ensure
it is accurate. If we do not receive the correct e-mail address, it will be
impossible for us to contact you to let you know that the server cannot reach
you.
|
| Name
|
| First
Last
|
| Email
|
(confirm
email)
|
| Create the password that you want to use to access the list
Archives and Account Management website.
|
|
| Age
|
|
| How long have you experienced fertility problems?
|
|
| Please provide a brief overview.
|
|
| How long have you been trying to adopt?
|
|
| Are you considering International Adoption, Domestic Adoption,
or both?
|
|
| Do you have any other children via adoption?
|
|
| Location:
|
City
State/Province
Country
|
| Please let us know how the On-Line Support Group can help
you:
|
|
| You may choose how you would like to receive the list messages.
|
|
| How did you hear about us?
|
|
|
Adopt-L Rules of Conduct to
retain my privilege to participate in this online support group. I understand
that if I violate any of these rules, I may be unsubscribed, without warning,
to protect the best interest of the group. |
| I am not an adoption professional. I do not charge a fee or receive
any monetary compensation in relation to adoption. |
|
|
|