*
Sign up not allowed by admin.
Please contact admin for registration.
*
SIGN IN
User Name
Password
Lost your password?
China Adoption
International Adoption
Orphan Hosting
Student Exchange
Family Login
Instant Access
Photo Listing
+1 (512) 323-9595
info@gwca.org
Toggle navigation
Photo Listing
Adoption Programs
China Adoption
Eligibility
Children for Adoption
China Waiting Child
Waiting Child Photolisting
LID vs. Special Focus
Aging Out
Singles Adoption
Service Plans
Our Services
Home Study Service
Hague Training
Medical Referral
Student Exchange
Host Exchange Students
Work with Students
Travel Programs
Heritage Tours
Adoptee Cultural Exchange (ACE) Program
China Homestay
Care Packages/Amenities
Cake Packages
Adoption Finalization
The CONNECT Program
Orphan Hosting
Orphan Care
China Orphan Care Trips
Amazon Smile
Gifts of Love
Past Orphanage Projects
CAN Orphan Care
Haiti Orphan Care Trip
About Us
Our Story
About China
Testimonials
Fundraising
Hague Convention
Family Stories and Videos
FAQs
Get Involved
Blogs & News
Family Only Section
Event Calendar
Webinars
Be an Orphan Advocate
Work with Students
Local Coordinator Positions
Volunteer with Students
Intern at GWCA
Take a Survey
Online Payment/Donation
Contact
Apply Now
Eligibility Check
Home
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
*
China
Philippines
Burundi
DRC
Ethiopia
Ghana
Uganda
Bulgeria
Latvia
Moldova
Poland
Ukraine
Dominican Republic
Guyana
Haiti
Hondruas
Domestic
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?
*
Yes
No
What is your gender?
*
Male
Female
Marriage Date
*
Mother's Prior Divorces
*
0
1
2
3
4
Father's Prior Divorces
*
0
1
2
3
4
Mother's Name
*
First
Last
Father's Name
*
First
Last
Mother's Age
*
Father's Age
*
Mother's Ethnicity
*
Father's Ethnicity
*
Number of Children
*
0
1
2
3
4
5
6
7
8
9
10
11+
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.