San Diego County Adoptions Application Inquiry
Please call 1-877-423-6788 if you would prefer to submit an inquiry over the telephone.
Applicant Information
Applicant #1
First Name:
Middle Initial:
Last Name:
DOB:
Gender:
Male
Female
Ethnicity:
African American
American
Asian
Chinese
English
European
Fasi
French
Georgian
German
Greek
Hausa
Hungarian
Indian
Inuit
Iranian
Irish
Israeli
Italian
Jamaican
Japanese
Jewish
Kenyan
Khmer
Kurdish
Laotion
Lebanese
Malagasy
Mestizo
Mexican
Mongol
Mossi
Norwegian
Oromo
Pakistani
Persian
Polish
Polynesian
Puerto Rican
Punjabi
Quechua
Romanian
Russian
Samoan
Scandinavian
Scottish
Serbian
Sindhi
Slovak
Somali
Spanish
Swedish
Marital Status:
Single
Married
Domestic Partner
Home Phone:
Work Phone:
Cell Phone:
Fax:
Email:
Address:
City, State, ZIP:
,
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Applicant #2
First Name:
Middle Initial:
Last Name:
DOB:
Gender:
Male
Female
Ethnicity:
African American
American
Asian
Chinese
English
European
Fasi
French
Georgian
German
Greek
Hausa
Hungarian
Indian
Inuit
Iranian
Irish
Israeli
Italian
Jamaican
Japanese
Jewish
Kenyan
Khmer
Kurdish
Laotion
Lebanese
Malagasy
Mestizo
Mexican
Mongol
Mossi
Norwegian
Oromo
Pakistani
Persian
Polish
Polynesian
Puerto Rican
Punjabi
Quechua
Romanian
Russian
Samoan
Scandinavian
Scottish
Serbian
Sindhi
Slovak
Somali
Spanish
Swedish
Marital Status:
Single
Married
Domestic Partner
Home Phone:
Work Phone:
Cell Phone:
Fax:
Email:
Address:
City, State, ZIP:
,
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Child(ren) Information
Children
Age
Gender
Status
Where Living
Male
Female
Biological
Adopted
Stepchild
Male
Female
Biological
Adopted
Stepchild
Male
Female
Biological
Adopted
Stepchild
Male
Female
Biological
Adopted
Stepchild
General Questions and Comments
What is the primary language spoken in your home?
English
Spanish
Other
Have you ever applied to adopt before?
Yes
No
Age Range of Child You Would Consider Adopting?
All Ages
0-3
4-8
9-12
13-17
Other
Which Gender Would You Consider Adopting?
Male
Female
Either
Are you applying to adopt a child living in your home?
Yes
No
Would you consider adopting a sibling group?
Yes
No
Unsure
Why do you wish to adopt?