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Supplemental Preferences

    Please indicate your preferences below.

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  1. Full Name*
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  2. Email Address*
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  3. Adoption Preferences
    Please check all the races you are open to adopting:*









    † If expectant mother is affiliated with a tribe, placement may include additional paperwork, longer wait times, and/or extra legal fees. Invalid Input
  4. Do you have any preferences regarding gender?*
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  5. Please check all the types of post-placement communication you are open to.*
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  6. Substance Use
    You may present my profile to expectant mothers who have identified marijuana use during their pregnancy.*
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  7. You may present my profile to expectant mothers who have identified alcohol use after the first trimester of pregnancy.*
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  8. You may present my profile to expectant mothers who have identified any type of legally prescribed substance use, e.g., methadone, subutex, medications for treatment of mental health symptoms, etc.*
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  9. You may present my profile to expectant mothers who have identified any type of illegal substance use, e.g., cocaine, heroin, meth, etc.*
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  10. Agency States
    You may present my profile to expectant mothers who live in agency states with exceptionally high legal and/or birthparent services fees ($20,000-$28,000).*
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  11. Older Children
    You may present my profile to birthmothers interested in placing an older child, aged 6 months to 2 years.*
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    You may present my profile to birthmothers interested in placing an older child, aged 3 years to 5 years. *
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  12. Traumatic Circumstances
    You may present my profile to expectant mothers who have identified the pregnancy occurred as a result of incest.*
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  13. Mental Illness
    You may present my profile to expectant mothers who have reported they have a condition pertaining to their mental health.*
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