As part of Voice for Adoption’s “Adoptive Family Portrait Project”, participating families are matched with a member of Congress from their state. Portraits and stories of matched families are displayed in their congressperson’s office during November and at the National Adoption Program. VFA’s goal is to raise awareness of both the joys and challenges that families experience in adopting children from foster care. We accomplish this goal by using your responses to write your one page family story that will be included in a digital and hardcover Family Portrait Project collection. Please share as much information as you are comfortable with having included in a public profile of your family. You do get a chance to approve your family story. Once we receive your survey, we hope to match you with a member of Congress. Please note not all families are able to receive a match each year.
Thank you so much in advance for participating.
**Please be advised that this project is based on a first come first serve basis. Your timely efforts are appreciated!

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* 1. Have you participated in VFA's Adoptive Family Portrait Project in previous years? 

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* 2. In brief, how did you hear about the Adoptive Family Portrait Project?

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* 3. Please share your contact information: (physical address is used to determine your congressional district & for mailing our final project booklet).

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* 4. Please provide your adopted child's/children's information: name, age, time in foster care, age of adoption, and if their needs require additional support: 
I.e. mental health, education, medical, etc.

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* 5. Please select all that apply

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* 6. Please describe your adopted child's/children’s personalities, strengths and hobbies.

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* 7. Describe the rest of your immediate family, including your biological children (if any) who live with you.

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* 8. What motivated you to adopt from foster care?

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* 9. What agency, recruitment efforts or campaigns, if any, were effective in helping you adopt a child/children from foster care?

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* 10. Please describe the services and supports that you have used post-adoption — such as mental health counseling, medical services, etc. While services do you think were most helpful? How did you cover the costs of these services or treatment?

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* 11. Has access to post-adoption services prevented your child from reentering the foster care system? Please include any challenges you have had in accessing these services.

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* 12. If your family has received counseling, what impact has it had on your lives?

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* 13. What obstacles has your family overcome through the adoption process?

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* 14. What are your family's greatest strengths?

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* 15. What factors, if any, influenced your decisions during the adoption process and afterwards? How?
I.e. Faith, community, support groups, specific professionals, etc.

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* 16. Have you or your family experienced discrimination in foster care or adoption? If so, please share your story here.

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* 17. If you could tell policymakers one thing you would like to see change related to adoption and foster care issues, what would it be? And why?
I.e. faster placement, more post-adoption support, better training for welfare personnel, protection against discrimination (towards LGBTQ families and other minorities), services and/or issues surrounding Medicaid, or more financial support during the process, etc.

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* 18. Have you utilized the federal Adoption Tax Credit (IRS form 8839)?
If yes, during which years and how has it been helpful to your family?
If no, why not?
(Learn more about current adoption tax credit advocacy efforts here or on Facebook)

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* 19. Quotes from Adoptees (if willing and open to sharing):
What is your favorite memory with your adopted family? Or, what was your first memory of feeling that you were home with your adopted family?

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* 20. What does adoption or family mean to you?

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* 21. What would you like to tell others about adoption? (i.e. Other young people, friends, teachers, other adults, other people considering adoption, etc.)

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* 22. Please upload a photo of your family
(preference for 8x10 High Resolution)

PDF, JPEG, JPG, PNG, GIF file types only.
Choose File
No file chosen

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* 23. Please check any/all of the following that are of interest to you:

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* 24. Do you wish your story to be submitted without your name attached to it? We will include anonymous initials (not yours) and your city and state with your story.

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* 25. I/we hereby grant Voice for Adoption (VFA) permission to record and reproduce my/ our family’s likenesses, stories, and names for use in their Adoptive Family Portrait Project, website, social media and other efforts to increase positive public awareness of adoption from foster care.

*NOTE: VFA will remove your last name in any stories we post online, including on social media; however, the Adoptive Family Portrait Project publication with the complete story will be posted to VFA's website.

I/ we may cancel this release at any time by providing written notice to VFA. This cancellation shall be effective 90 days after VFA’s receipt of this notice, except as to any printed materials ordered prior to the receipt of notice, as those printed materials may continue to be used by VFA until the inventory is completely depleted.

Signing this release is consent to use my/our photos, names, information, and stories, and means they will be property of VFA. It does not take away my/our rights to publish my/our personal story/ stories. It does not guarantee that my/ our information will be used by VFA. I/ we understand there will be no financial compensation.

I/we also consent to VFA contacting my family’s adoption/ foster care staff for the purpose of approval to promote my family’s story as a representative from that state.

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Taken at the National Adoption Month Briefing and Portrait Project Display Reception

<div style="text-align: center;"><strong>Taken at the National Adoption Month Briefing and Portrait Project Display Reception</strong></div>
Thank you for your participation in this survey and the 2019 Adoptive Family Portrait Project.  If you have any further questions, please contact Voice For Adoption's Executive Director, Schylar Baber.
Phone: 202-210-8118
Email: sbaber@voiceforadoption.org

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