Applicant #1 Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Gender
*
Place of Birth
*
Home Address
*
All Addresses in the Last Ten Years
*
Phone Number
*
(###)
###
####
Email
*
Church Home
*
Education
*
Occupation
*
Annual Income
*
Employer's Name, Address, Phone
*
Applicant #2 Name
First Name
Last Name
Date of Birth
MM
DD
YYYY
Gender
Place of Birth
Home Address
All Addresses in the Last Ten Years
Phone Number
(###)
###
####
Email
Church Home
Education
Occupation
Annual Income
Employer's Name, Address, Phone
Date of Current Marriage
MM
DD
YYYY
As representatives of Jesus Christ, you are responsible to demonstrate a lifestyle consistent with His character and are expected to be men and women of high moral character and whose sexual conduct is consistent with the standards of Scripture. This includes abstaining from any pattern of addiction and from homosexual, premarital, and extramarital sexual conduct. I/we agree with this statement and will hold my/our conduct to this standard to the best of my/our ability:
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Children of Applicants
Please list full name(s), Gender, and Date of Birth for each child.
Other Person(s) Living in the Home
Please list any additional people, adults or minors, who are living in your home. List Name(s), Date of Birth, and Relationship.
Have you ever been arrested for an offense other than a minor traffic violation?
*
Have you ever been convicted of a crime (non-traffic/misdemeanor) in a state, federal court, military or a jurisdiction outside of the U.S.?
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Have you ever been reported to Children’s Protective Services or Law Enforcement for alleged child abuse, neglect or abandonment?
If either applicant answered yes to any of the above questions, Please provide relevant details below:
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Are you licensed for Foster Care?
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If yes, please specify the county and state of license:
Have you previously applied for adoption? If yes specify agency.
*
Have applicant(s) sought God in prayer about becoming a Parent Partner? If not, please take a period of time to seek the Lord on this before continuing this application. After seeking the Lord, please share how the Lord is leading you in that process:
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Is there a specific orphan you wish to partner with? If yes please list their name, country, and children's home they reside in.
*
If not please give us details that will help us match you with a child. (Age range, country, gender, etc)
Would you wish to be partnered with a single child or are you willing to partner with multiple children in the same family?
*
Briefly share your testimony.
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Applicant #1
In your own words, what is the Gospel?
*
Applicant #1
What are you expecting the Lord to do in your life through Parent Partnering?
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Applicant #1
Briefly share your testimony.
Applicant #2
In your own words, what is the Gospel?
Applicant #2
What are you expecting the Lord to do in your life through Parent Partnering?
Applicant #2
Reference #1
*
Reference #2
*
Reference #3
*
Reference #4
*
Applicant #1 Name
*
First Name
Last Name
Electronic Signature Applicant #1
*
Applicant #2 Name
First Name
Last Name
Electronic Signature Applicant #2
Thank you for your interest in becoming a Saving Susan Parent Partner. Your application will be prayed over and reviewed.
The next step is to begin a volunteer background check. Please click here to begin your background check now.
A member of our team will contact you with next steps.
Thank you and may God Bless You .
- Saving Susan Ministry Team
