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This is the first initial intake form. It will be general and short.

Gosea Family Foundation Intake Form

Thank you for reaching out to the Gosea Family Foundation. Please complete this short form, and a member of our team will contact you for a brief discussion about next steps.

Contact Information

Full Name

Phone Number

Preferred Contact Method

Are you reaching out as:

A prospective adoptive family

A birth parent considering adoption

A representative from an adoption agency

Other

General Questions

What is your primary reason for reaching out to the Gosea Family Foundation?

Are you currently working with an adoption agency or legal representative?

Yes

If “Yes", what agency or legal representation are you working with?

How soon are you looking to move forward in the adoption process?

Immediately

Within the next 3-6 months

Undecided

Would you like any specific resources or guidance at this time?

How did you hear about the Gosea Family Foundation?

Additional Comments: