Free Application | Pregnant Considering Adoption

To begin the adoption process, please complete the application below.

One of our adoption coordinators will be in touch within 72 hours to discuss the next steps. If you're pregnant and looking for information about placing your baby for adoption, please click here.

A reliable, personalized experience. Our adoptive parents receive one-on-one guidance from an adoption specialist every step of the way.

Inclusive, non-discriminatory services. Our organization serves the LGBTQ community, single individuals, and traditional families.

A strong online marketing presence. We utilize the most current online trends to reach as many expectant mothers as possible.

A proven track record of success. We are committed to helping you build your family through the miracle of adoption.

Start Your Adoption Journey

Applicant and/or their spouse must be a US citizen or Green Card holder.

First Name*: Invalid Input

Last Name*: Invalid Input

Preferred Pronouns: Invalid Input

Your Date of Birth: Invalid Input

*You must be 25 years of age or older to adopt.

Your Race: Invalid Input

Spouse/Partner's First Name: Invalid Input

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Spouse/Partner's Date of Birth: Invalid Input

*You must be 25 years of age or older to adopt.

Spouse/Partner's Race Invalid Input

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How did you hear about LifeLong? Invalid Input

Employment Information

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Family Information

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Briefly describe your reasons for wanting to adopt. Invalid Input

How ready are you to start the adoption process? Not quite. I'm still researching adoption and would like more information.
Almost. I've researched adoption and am seeking professional guidance.
Ready. I'm financially prepared and want to start as soon as I find the right company. Invalid Input

Tell us about any children you currently have, including their age(s) and whether they are biological or were adopted. Invalid Input

Personal History

Been arrested? Invalid Input

Military dishonorable discharge? Invalid Input

Explain any of the above: Invalid Input

Home Study

Have you completed a home study? Invalid Input

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Please note: We will contact you within 72 hours of receipt of your complete application. Contact will be made by email or phone.

This is an application, not a contract. There is no obligation by either party. Vital statistics are confidential and are not shared with birthparents. Your information is submitted via a secure server for additional security. By submitting this application you admit that your answers are true and correct. For more information, please read our privacy statement.

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