AGCI Application Form

Congratulations on your decision to begin your journey of adoption! All God's Children International has united families through adoption for over twenty years. Our caring staff is committed to guiding you through your home study process and working with you to answer all of your questions and concerns along the way.

Please include the following when submitting your application:

One family photo with all members living in the home
One photo of the exterior of the house
$300 Non-refundable processing fee

(Photos do not need to be professional, but must be current and of good quality.)

Please note the time sensitivity of this document.
This application will expire after 90 days and a new application and fee will be required.

AGCI will contact you within two business days of receipt of these items to review your application with you. Upon approval, you will then receive an Orientation Packet that will guide you through the next steps of your home study process.

Thank you for considering AGCI. We look forward to working with you!

If you have any questions as you complete this application, please contact Inquiry Services at (800) 214-6719.

We may be able to save you time by pre-filling the form with the information that you have previously entered.

Have you previously submitted your information to us?

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Application Type
Application Type	Adoption Home Study Only

Prospective Adoptive Father

Father Last Name*

Father First Name*

Father Middle Name

Father Preferred Name

Father Height*

Enter in inches (in).

Father Weight*

Enter in pounds (lbs).

Father DOB*

Father Citizenship*

*	Show All Countries

Father Country of Birth

Father Social Security Number

- -

Father's Religion (optional)

Father Education Level*

Family Address

Street Address*

Street Address Line 2

City*

State/Region*

Enter Region

Zip Code*

County

Country

Show All Countries

Contact

Home Phone*

()-ext

Enter Int'l Number

Home Email*

Father Email

Father Cell Phone*

()-ext

Enter Int'l Number

Father Work Phone

()-ext

Enter Int'l Number

Mother Email

Cell Phone*

()-ext

Enter Int'l Number

Work Phone

()-ext

Enter Int'l Number

Preferred Contact Method

Prospective Adoptive Mother

Mother Last Name*

Mother*

Mother Middle Name

Mother Preferred Name

Mother Height*

Enter in inches (in).

Mother Weight*

Enter in pounds (lbs).

Mother DOB*

Mother Citizenship*

*	Show All Countries

Mother Country of Birth

Mother Social Security Number

- -

Mother's Religion (optional)

Mother Education Level*

Family Shipping Address (if different)

Shipping Street Address

Shipping Street Address Line 2

Shipping City

Shipping State/Region

Enter Region

Shipping Zip Code

Shipping Country

Show All Countries

Marriage
Marital Status*

Marriage Date (if applicable)*
*
Father Number of Previous Marriages (if applicable)*
*
Mother Number of Previous Marriages (if applicable)*
*

Previous Marriages
Please complete this section if either of the applicants have had any previous marriages.
Father Previous Marriage #1 Date

Father Previous Divorce #1 Date

Father Why Marriage #1 Ended

Father Child/Custody Arrangements #1

Father Previous Marriage #2 Date

Father Previous Divorce #2 Date

Father Why Marriage #2 Ended

Father Child/Custody Arrangements #2

Mother Previous Marriage #1 Date

Mother Previous Divorce #1 Date

Mother Why Marriage #1 Ended

Mother Child/Custody Arrangements #1

Mother Previous Marriage #2 Date

Mother Previous Divorce #2 Date

Mother Why Marriage #2 Ended

Mother Child/Custody Arrangements #2

Password
Please enter a password to use at a later time to access other forms on our website. Please write down and keep this password in a safe place, as your password cannot be accessed by AGCI.
Family Login Password*
Password Already Set Change Password
Confirm Password	*
Password must be at least 8 characters with at least one uppercase letter, one lowercase letter, and one number.

Please indicate how important the following were in your decision to apply with us.

Decision to Apply
Comments

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	If adopted, from what country?	If adopted, placement date?	If adopted, were you compliant on post adoption reports?	If adopted, were they re-adopted?

	If adopted, from what country?	If adopted, placement date?	If adopted, were you compliant on post adoption reports?	If adopted, were they re-adopted?

	If adopted, from what country?	If adopted, placement date?	If adopted, were you compliant on post adoption reports?	If adopted, were they re-adopted?

	If adopted, from what country?	If adopted, placement date?	If adopted, were you compliant on post adoption reports?	If adopted, were they re-adopted?

	If adopted, from what country?	If adopted, placement date?	If adopted, were you compliant on post adoption reports?	If adopted, were they re-adopted?

	Reason for Being in the Home	Custody Arrangements (if applicable)?	Relationship to Family