Eligibility Check

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Eligibility Che

Eligibility Check

Please take the time to fill out the eligibility check completely. Our management team and country representatives will review and determine your family's eligibility. Thank you so much, and we will contact you shortly!

Who Referred you to this Eligibility Check?*
The best phone number to contact your family*
The best email to contact your family*
Country of Interest*
Child Parameters
Please check all that apply for your family.
- Male
- Female
- Waiting Child Progam
- Healthy Referral Program
- Ages 0-3
- Ages 3-6
- Ages 6-9
- Ages 9-12
- Ages 12+
Are you Married?*
What is your gender?*
Marriage Date*
Mother's Prior Divorces*
Father's Prior Divorces*
Mother's Name*
FirstLast
Father's Name*
FirstLast
Mother's Age*
Father's Age*
Mother's Ethnicity*
Father's Ethnicity*
Number of Children*
Please list the ages of the children in the home*
If a child living in your home has a medical condition, please explain below
Mother's Religion (if applicable)
How long have you practiced in this faith?
Father's Religion (if applicable)
How long have you practiced in this faith?
If you subscribe to a religious belief system, does this prohibit any type of medical treatment for your potential adopted child?
- yes
- no
Mother's current BMI (Body Mass Index)*
Calculate your BMI here: www.bmi-calculator.net
Please enter a value between 10 and 80.
Father's current BMI (Body Mass Index)*
Calculate your BMI here: www.bmi-calculator.net
Please enter a value between 10 and 80.
Mother's Medical Condition*
- No diagnosis
- Diagnosis of medical condition
Please describe prior medical diagnosis. *
If you have a prior surgery or medical diagnosis, please list the dates. If this is ongoing, please describe how this diagnosis affects your everyday life.
Father's Medical Condition*
- No diagnosis
- Diagnosis of medical condition
Please describe prior medical diagnosis. *
If you have a prior surgery or medical diagnosis, please list the dates. If this is ongoing, please describe how this diagnosis affects your everyday life.
Mother's Mental Health *
- No diagnosis
- Mental Health Diagnosis
Please describe prior mental health diagnosis.*
If you have ever had a mental health diagnosis, please describe what the diagnosis was and include the dates of diagnosis. Please also indicate if you saw a mental health professional during this time.
Father's Mental Health*
- No diagnosis
- Mental Health Diagnosis
Please describe prior mental health diagnosis.*
If you have ever had a mental health diagnosis, please describe what the diagnosis was and include the dates of diagnosis. Please also indicate if you saw a mental health professional during this time.
Mother's Medication Usage*
- No History of Medication Usage
- History of Medication Usage
Please descibe prior medication usage. *
If you have ever used prescription medication, please indicate the medication name, dosage, time used, and reason this medication was used.
Father's Medication Usage*
- No History of Medication Usage
- History of Medication Usage
Please descibe prior medication usage. *
If you have ever used prescription medication, please indicate the medication name, dosage, time used, and reason this medication was used.
Mother's Criminal History*
- No History of Criminal Charges or Child Abuse/Neglect in the US or Abroad
- History of Criminal Charges or Child Abuse/Neglect in the US or Abroad
Please descibe charges*
If you have ever had allegations, charges, or convictions of any criminal or child abuse, please indicate below. Please include the date, original charge, disposition of the charge, and how the charge was resolved. (Some countries may require that documentation be provided before the eligibility check will be completed)
Father's Criminal History*
- No History of Criminal Charges or Child Abuse/Neglect in the US or Abroad
- History of Criminal Charges or Child Abuse/Neglect in the US or Abroad
Please descibe charges*
If you have ever had allegations, charges, or convictions of any criminal or child abuse, please indicate below. Please include the date, original charge, disposition of the charge, and how the charge was resolved. (Some countries may require that documentation be provided before the eligibility check will be completed)
Combined Annual Income for the prior year*
Projected Annual Income for this year*
Family's Assets *
Please include anything that your family owns that has value (including cars, appliances, jewelry, homes, books, etc.)
Family's Liabilities*
Please add up the debt that your family has including loans, mortgages, credit card debt, etc.
Family's Total Net Worth*
Please subtract your liabilities from your assets and put the total amount below.
Additional Information (optional)
Please indicate any additional information that you would like our agency to consider when reviewing your eligibility.
Disclaimer*
Please be aware that by submitting this Eligibility Check, you are stating that all this information is true to the best of your knowledge. This information will be required to have documented proof in the dossier process. If any of this information is difference than indicated in this form, the country and central authority may reject your application for adoption. Our management team cannot guarantee that your family will be approved for adoption. The country and central authority will approve your application for adoption once the entire dossier is sent to the country and reviewed. This Eligibility Check is meant to determine whether the country will consider your application for adoption. Please sign your name below to indicate that you have read and agree to this disclaimer.
After you press submit- you will receive a confirmation email. Please only press submit once and allow the page to fully process your form. This may take up to 60 seconds to complete. Do NOT refresh or click back during this time.

248 Addie Roy Rd. A102
Austin, TX 78746 USA

Great Wall China Adoption is a 501(c)3 non-profit organization based in Austin, Texas. Since 1996, Great Wall has assisted the Chinese government in placing more than 9,000 children with forever families.

Between the headquarters located in Austin, Texas and the sister office in Beijing, China, we work on behalf of families each day to be experts at exceeding China’s requirements and adoptive families’ expectations by staying updated on aspects of China adoption

*Unless otherwise noted, the children appearing in the photographs on this site are not eligible for adoption or are stock images.

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