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PARENT REFERENCE
FAMILY'S NAME
(Required)
YOUR NAME
(Required)
First
Last
Phone Number
(Required)
Email
(Required)
A child of yours is applying to adopt. Gathering a reference from the adoptive family's parents is very important to the adoption process. The adoption process and the raising of children involve stress, patience, extensive teamwork as well as restrictions on personal freedom. Because of these factors, we would appreciate your objective input on this family's ability to pursue the adoption process. Please attach a separate sheet if necessary.
How do you feel about your child adopting?
How do you view adoptive grandchildren vs. birth grandchildren? Do you feel you could fully accept an adopted grandchild?
How will this adoption affect your life? How involved will you be in your grandchild's life?
If you were responsible for a child's future, would you approve this family to adopt the child? Why or why not?
Do you have any reason to question this family's morals?
Other comments you wish to make
Your overall recommendation regarding this family as prospective adoptive parent(s)
Highly recommend as prospective adoptive parent(s) without any reservations
Recommend as prospective adoptive parent(s), with limited reservations
Marginally recommend as prospective adoptive parent(s)
Definitely do not recommend as prospective adoptive parent(s), high reservations
If you have noted a concern, have you discussed this concern with the family?
Yes
No
Date
MM slash DD slash YYYY
Signature
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