[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-188005-en":3,"doc-seo-188005-105":29,"detail-sidebar-cat-1-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":11,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":11},188005,687207017582,"Ethan Miller","https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d",1,17,"Forms","Adoption Application Form - Blank Template","Blank adoption application form template designed to collect comprehensive identifying and factual information from one or two applicants. Includes sections for applicant names and contact details, household and background information, children available for adoption (including age range, sibling placement capacity, and physical, intellectual, and emotional/behavioral needs), and acknowledgement with date, signatures, and Social Security number last four digits.","| Leave Blank |\n| --- |\n| Date Received: |\n| Worker: Initial:\u003Cbr>Renewal: |\n\n\n| \u003Cbr>I. Identifying Information |  |\n| --- | --- |\n|  |  |\n\n\n| Applicant 1 Full Name: |  |  |\n| --- | --- | --- |\n| Applicant 2 Full Name: |  |  |\n| Street address: | City: | Zip: |\n| County: | Telephone home/cell: |  |\n| Email address: |  |  |\n\n| Name: | State: | County: |\n| --- | --- | --- |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\n\n| \u003Cbr>III. Children Available for Adoption |  |\n| --- | --- |\n|  |  |\n\n| Sex: | Age range: | Number of siblings who can be placed at one time: |  |\n| --- | --- | --- | --- |\n| Physical conditions:\u003Cbr> Mild  Severe\u003Cbr> Moderate  At risk | Intellectual Disability:\u003Cbr> Mild  Severe\u003Cbr> Moderate  At risk |  | Emotional/behavioral problems:\u003Cbr> Mild  Severe\u003Cbr> Moderate  At risk |\n\n\n| Other comments regarding type of child who will best fit into your family: |\n| --- |\n| If you are applying to adopt a specific child,\u003Cbr>Name of child:\u003Cbr>Name of assigned HHS worker and contact information if available |\n\n\n| \u003Cbr>V. Factual Information |  |\n| --- | --- |\n|  |  |\n\n\n|  | Applicant 1 |  |  |  | Applicant 2 |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Birth date: |  |  |  |  |  |  |  |  |\n| Birthplace: |  |  |  |  |  |  |  |  |\n| U. S. citizenship/Legal Status: Description of Legal Status: |  Yes  No |  |  |  |  Yes  No |  |  |  |\n| Physical descriptions: | Height |  | Weight |  | Height |  | Weight |  |\n|  | Eyes |  | Hair |  | Eyes |  | Hair |  |\n| Education: (last grade completed) |  |  |  |  |  |  |  |  |\n| Race or ethnic background: |  |  |  |  |  |  |  |  |\n| Religious Preference: |  |  |  |  |  |  |  |  |\n| Martial Status:\u003Cbr>Present: | Place: |  |  |  | Place: |  |  |  |\n| All Previous marriages: | Date:\u003Cbr>Place: |  |  |  | Date:\u003Cbr>Place: |  |  |  |\n|  | Date:\u003Cbr>Place: |  |  |  | Date:\u003Cbr>Place: |  |  |  |\n|  | Date:\u003Cbr>Place: |  |  |  | Date:\u003Cbr>Place: |  |  |  |\n| Current Occupation: |  |  |  |  |  |  |  |  |\n| Current Employer: |  |  |  |  |  |  |  |  |\n| Work telephone/email: |  |  |  |  |  |  |  |  |\n| Persons over age 18 residing in the home: | Full Name(s) & Birth date(s): |  |  |  | Relationship to Applicants: |  |  |  |\n\n\n| All Children currently residing in the home: | Full Name: | Birth date: | School & current grade: | Biological, foster or adopted |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\n\n|  |  |  |\n| --- | --- | --- |\n|  | VI. Acknowledgment |  |\n|  |  |  |\n\n\n| Date: | Date: |\n| --- | --- |\n| Applicant 1 Signature: | Applicant 2 Signature: |\n| Applicant 1 Social Security Number (last four digits): | Applicant 2 Social Security Number (last four digits): |","cbCaibVT57m9mStw","https://ap.wps.com/l/cbCaibVT57m9mStw","pdf",102792,3,"English","en",105,"# Identifying Information\n## Applicant Contact Details\n# Children Available for Adoption\n## Child Characteristics and Placement Fit\n# Factual Information\n## Birth and Legal Status\n## Education and Background\n## Household Members and Children\n# Acknowledgment\n## Signatures and Date","[{\"question\":\"What information is collected in the identifying information section?\",\"answer\":\"The form collects applicant full names, street address, city, county, zip, telephone, and email address, for up to two applicants.\"},{\"question\":\"How does the form document children available for adoption?\",\"answer\":\"It captures sex, age range, sibling placement capacity, physical and intellectual disability levels, emotional/behavioral needs, and comments describing the child type that best fits the family.\"},{\"question\":\"What is required in the acknowledgement section?\",\"answer\":\"It requires dates, both applicants’ signatures, and each applicant’s Social Security number (last four digits).\"}]","Adoption Application Form - Blank Template | PDF",1788386723,{"code":4,"msg":30,"data":31},"ok",{"site_id":24,"language":23,"slug":32,"title":14,"keywords":33,"description":15,"schema_data":34,"social_meta":85,"head_meta":87,"extra_data":89,"updated_unix":28},"adoption-application-form-blank-template","",{"@graph":35,"@context":84},[36,52,67],{"@type":37,"itemListElement":38},"BreadcrumbList",[39,43,47,49],{"item":40,"name":41,"@type":42,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":44,"name":45,"@type":42,"position":46},"https://docshare.wps.com/template/","Template",2,{"item":48,"name":13,"@type":42,"position":21},"https://docshare.wps.com/template/forms/",{"item":50,"name":14,"@type":42,"position":51},"https://docshare.wps.com/template/adoption-application-form-blank-template/188005/",4,{"url":50,"name":14,"@type":53,"author":54,"headline":14,"publisher":56,"fileFormat":59,"inLanguage":23,"description":15,"dateModified":60,"datePublished":61,"encodingFormat":59,"isAccessibleForFree":62,"interactionStatistic":63},"DigitalDocument",{"name":9,"@type":55},"Person",{"url":40,"name":57,"@type":58},"DocShare","Organization","application/pdf","2026-09-05","2026-09-02",true,{"@type":64,"interactionType":65,"userInteractionCount":46},"InteractionCounter",{"@type":66},"ViewAction",{"@type":68,"mainEntity":69},"FAQPage",[70,76,80],{"name":71,"@type":72,"acceptedAnswer":73},"What information is collected in the identifying information section?","Question",{"text":74,"@type":75},"The form collects applicant full names, street address, city, county, zip, telephone, and email address, for up to two applicants.","Answer",{"name":77,"@type":72,"acceptedAnswer":78},"How does the form document children available for adoption?",{"text":79,"@type":75},"It captures sex, age range, sibling placement capacity, physical and intellectual disability levels, emotional/behavioral needs, and comments describing the child type that best fits the family.",{"name":81,"@type":72,"acceptedAnswer":82},"What is required in the acknowledgement section?",{"text":83,"@type":75},"It requires dates, both applicants’ signatures, and each applicant’s Social Security number (last four digits).","https://schema.org",{"og:url":50,"og:type":86,"og:title":14,"og:site_name":57,"og:description":15},"article",{"robots":88,"canonical":50},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":91},[92,97,102,107,112,117,120,125,130],{"id":93,"doc_module":11,"doc_module_name":45,"category_name":94,"show_sort_weight":95,"slug":96},11,"Presentations",90,"presentations",{"id":98,"doc_module":11,"doc_module_name":45,"category_name":99,"show_sort_weight":100,"slug":101},12,"Resumes",80,"resumes",{"id":103,"doc_module":11,"doc_module_name":45,"category_name":104,"show_sort_weight":105,"slug":106},14,"Invoices",70,"invoices",{"id":108,"doc_module":11,"doc_module_name":45,"category_name":109,"show_sort_weight":110,"slug":111},15,"Posters",60,"posters",{"id":113,"doc_module":11,"doc_module_name":45,"category_name":114,"show_sort_weight":115,"slug":116},16,"Social Media",50,"social-media",{"id":12,"doc_module":11,"doc_module_name":45,"category_name":13,"show_sort_weight":118,"slug":119},40,"forms",{"id":121,"doc_module":11,"doc_module_name":45,"category_name":122,"show_sort_weight":123,"slug":124},18,"Letters",30,"letters",{"id":126,"doc_module":11,"doc_module_name":45,"category_name":127,"show_sort_weight":128,"slug":129},21,"Paper Templates",5,"papers-templates",{"id":131,"doc_module":11,"doc_module_name":45,"category_name":132,"show_sort_weight":4,"slug":133},158,"General","general-158"]