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Adoption Initial Application Form

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Please complete all fields marked *. Hover your mouse over anyExample of help marks for additional help.
Please use this e-Form to initially apply to become an adopter in Surrey. Please Note: this is an initial application form only and your answers will be used to assess your eligibility to begin the formal application process.

If you do not have an email address, please see Enquiries about Adoption for alternative contact information. If you are interested in Step Parent Adoption or Inter Country Adoption please phone direct on 08000 969626.

Please Note: We regret we will not be able to reply to any enquiry submitted from anyone living outside the boundaries of Surrey - please see the map of the area we cover.

If you wish to talk to somebody in Surrey about adoption please call Adoption and Permanency Team on 08000 96 96 26 and ask to speak to our Referral Information Officer. Also, if you would complete the form below, it will enable us to have your details readily available when you phone in.

Your details
Your gender *

 
Do you have any plans to move home or have building works undertaken ? *

 
Are you married or have a live in partner? *
If your answer is 'no', please proceed to the section If you have children

 
If your answer is 'Yes', you will need to fill in their details in the following section
Second applicant

 
Gender

 
 

 
 

 
 
How long have you been in your relationship?
If you already have children
Do you have any children living with you or elsewhere? *

 
Please list details of children living with you or elsewhere:

 
1st Child

 
 
2nd Child

 
 
3rd Child

 
 
4th Child

 
 
5th Child
Additional Information
What age child are you hoping to adopt? - please select all that apply *
What gender child are you hoping to adopt? *
Would you consider adopting a sibling pair or group? *
Would you consider a child with special needs, ie a physical or learning disability? *

 
 
What do you think of our website? *

 
 
If you have completed all the fields marked *, then please click "Submit".

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  • Updated: 17 Apr 2014
  • Janice Pond

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