INSTRUCTIONS FOR COMPLETING THE ONLINE OUT-OF-STATE FAMILY ADOPTION REGISTRY FORMS

Welcome to the New York State Office of Children and Family Services' Family Adoption Registry System. It is important for you to know who are New York State's Waiting Children. They are all valuable, growing children who deserve a loving, permanent family. These are children who are waiting for adoptive families while in foster care. The population is ethnically diverse, and from backgrounds that include African-American, Caucasian, Latino, and others. There are few children under the age of 4. Most of the children are between the ages of 7 and 13 and some of the children are older teenagers. There are children who may have physical, mental, or emotional challenges. Often there are children who are part of a sibling group that need to be placed together.


Instructions for Out-of-State Family Adoption Registration

All prospective adoptive out-of-state parents who express a willingness to consider adopting any of these waiting children will be temporarily listed in the Family Adoption Registry. The information entered into the Family Adoption Registry System is based on the information provided on the online registration forms. After you have completed the online registration forms, you must submit a paper copy of the forms and proof of a favorably completed home study. Temporary registration is valid for one month and registration in the Adoption Family Registry is contingent upon the submission of the forms along with the favorable home study verification. New York State Adoption Service (NYSAS) staff will then review each submitted application to make sure that all of the necessary information has been supplied.

If the application meets all the initial criteria, your family registration will be accepted into the Family Adoption Registry. Once information about your family is added to the Family Adoption Registry, caseworkers will be able to match your profile with New York State's Waiting Children. Consequently, you will receive consideration based only upon the information contained on your application (i.e. if an applicant indicated a willingness to consider a severely handicapped child, the system will not assume a willingness to accept a moderately or mildly handicapped child). Therefore you will need to be certain that the information you provide in this registration accurately reflects your adoption preferences.


Homestudy Information: A home study is a series of interviews and information gathering sessions to determine if a family meets the criteria to be an adoptive family. A home study is conducted by a certified social worker or an authorized or licensed adoption agency. An authorized or licensed adoption agency can be in-state or out-of-state. A copy of the home study and their recommendation, with the signature of an authorized person from the agency, must be submitted.

Homestudy Status: Out-of-state prospective families must have a favorably completed home study in order to register their family.

Homestudy Approval Date: Please provide the date on which your home study was favorably completed (mm/dd/yyyy).


Parent 1 information: If Parent 1 is a single parent, only Parent 1 information needs to be filled out completely. If Parent 1 is married, then both Parent 1 and Parent 2 information needs to be filled out completely.

Adopting As: Select Parent 1 adopting status from the drop down menu.

Gender: Select Parent 1's gender from the drop down.

First Name: Enter Parent 1's first name.

Last Name: Enter Parent 1's last name.

Date of Birth: Enter Parent 1's date of birth (mm/dd/yyyy).

Religion: Select the religion from the religion drop down that applies to Parent 1.

Work Phone: Enter Parent 1's work number as a ten digit number with no spaces starting with the area code (5556667777).

Ethnicity: Select the ethnicity from the ethnicity drop down that applies to Parent 1.


Parent 2 information: If Parent 1 is a single parent, only Parent 1 information needs to be filled out completely. If Parent 1 is married, then both Parent 1 and Parent 2 information needs to be filled out completely.

Adopting As: Select Parent 2 adopting status from the drop down menu.

Gender: Select Parent 2's gender from the drop down.

First Name: Enter Parent 2's first name.

Last Name: Enter Parent 2's last name.

Date of Birth: Enter Parent 2's date of birth (mm/dd/yyyy).

Religion: Select the religion from the religion drop down that applies to Parent 2.

Work Phone: Enter Parent 2's work number as a ten digit number with no spaces starting with the area code (5556667777).

Ethnicity: Select the ethnicity from the ethnicity drop down that applies to Parent 2.


General Family Data:

Address: Provide the street address of the primary residence.

City/Town: Provide city/town of the primary residence.

State/Province: Provide the state of primary residence, NY state is not an option. If you are a NY state resident you must register by contacting your local caseworker.

Zip: Provide the zip code of primary residence.

Home Phone: Provide telephone number including area code of your primary residence. Enter Family home number as a ten digit number with no spaces starting with the area code (5556667777).

Country: Provide the country of the primary residence.


Home Study Agency Contact Data: This section captures the certifed social worker's or authorized/licensed adoption agency's contact information.

Email Address: Provide the email address of the agency contact person.

Contact Name: Provide both the first and last name of the district/agency official who will serve as the contact for this application in reference to inquiries from other districts/agencies or state offices.

Contact Phone: Provide the business telephone number of the contact person.

Note: The " Agency Contact Data" section is not required information, however, it is recommended so that a New York State agency representative may contact the Agency you are working with.


Other Household Members:

Provide additional Family member information by submiting each member's first name, Date of Birth, and relationship to family. Do not include Parent 1 information or Parent 2 information (if applicable).

First Name: Provide the first name of each household member

Date of Birth: Indicate the age of each household member by entering their date of birth (mm/dd/yyyy).

Relationship in Family: Provide the relationship of each household.


Family Information:

Application ID: This temporary ID is the unique number assigned to your family when you have a temporary registration. Once you submit a copy of the completed online application and proof of a favorably completed home study, you will be moved from a temporary to registered status and your family will receive a new registration number that is valid for two years.

Family Name: If Parent 1 is single this field will appear with Parent 1's last Name. If Parent one is married or of another status this field will appear as Parent 1 last name/Parent 2 last name.

Primary Language: Select the family's primary language.

Application End Date: A temporary Family registration is valid for one month. In order for a family to move from a temporary status he/she/they must submit a copy of the online application and proof of a favorably completed home study.

Secondary Language: Select the family's secondary language.

Family's Pet: Indicate the type of family pet at your residence by selecting from the drop down(as appropriate).


Acceptable Child Characteristics:

Gender: Indicate with an "E" (Either), "M" (Male), "F" (Female) the gender of the child you would like to adopt.

Max. Number of Siblings to be Adopted Together: Select the maximum number of siblings you are willing to consider adopting (zero, one, two, three, or four).

Age Range: Select the desired age range for a child that you would like to adopt. The system will only search the age ranges indicated.

Accept Legally at Risk: Select "Yes" or "No" depending on your family's willingness to accept a child which is legally at risk. Legally "At Risk" Child means the child's birth parents have not either terminated their parental rights and/or surrendered the child to the state, therefore, the child may not become available for adoption.

Medical/Physical Needs: This section will identify specific medical/physical needs of children that may require an additional level of care.  This category includes children that may display some of the following medical problems that range from acute to chronic and/or terminal illness including HIV/Aids.  They may experience respiratory problems ranging from asthma to reactive airway disease or skin conditions that range from eczema to those that may require surgical/medical intervention.  This section will include children with physical disabilities that impair the use of vision, hearing and mobility.  Some children have neurological problems that range from seizure disorders to different levels of cerebral palsy. There may be infants that require additional medical intervention as well as some children who have gastrointestinal medical needs.  There are children who experience a wide range of allergy conditions.  Additionally, children with genetically inherited conditions such as Down's syndrome, Fetal Alcohol Syndrome, Tourettes and sickle cell disease will be included in this section (more information).

Educational/Learning Needs: This section includes the educational and learning needs ranging from educational support to diagnosed learning disabilities.  Examples include visual/receptive/auditory processing difficulties, dyslexia and educational delays.  The level of intellectual functioning can be noted along with the need for special educational intervention requirements (more information).

Emotional/Behavioral Needs:  This section includes the range of children experiencing acting-out behavioral and emotional problems to those having been adjudicated PINS, and JD.  Further examples of behavioral/emotional needs include those children exhibiting some of the following behaviors; low-frustration tolerance, early sexual activity, sexually acting-out behavior, enuresis, encopresis, and cruelty to animals.  Also included are children who exhibit these additional issues: resistance to adult authority, have difficulty with their peers, runaway behavior, school absence and or discipline issues, diagnosed attention problems including Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder, substance abuse, sleep disorders, theft and gang activity.  Children who are physically aggressive, violent, and destructive will be noted here (more information).

Developmental Delay Needs: This section includes children whose developmental needs range from receptive/expressive language, fine/gross motor skills, social adaptations, and self-help skills to those needing intensive assistance in self-help skills and with assistance towards achieving independent living.  Also included in this section are children that have temporary developmental delays to more permanent deficits (more information).

Diagnosed Psychiatric Needs: This category includes diagnosed psychoses, mood disorders, autism, and mental/emotional disorders such as post traumatic stress disorder.  Additionally, children with suicidal tendencies, self-mutilating/self-abuse issues, eating disorders, juvenile sex offender and fire-setting are included in this section (more information).

Child's Ethnic Background: Select the child's ethnic background by holding down the "ctrl" key and selecting all the ethnicities that apply.

Child's Religious Background: Select the child's religious background by holding down the "ctrl" key and selecting all the religions that apply.

Child's Language Background: Select the child's languages by holding down the "ctrl" key and selecting all the languages that apply.


Descriptions and Examples

Explanation of Mild, Moderate and Severe Levels.

The impact of conditions in each category above will vary from child to child, and can range from mild to severe depending on such factors as the manifestations of the condition, the ability of the particular child to cope with the disability, and the effectiveness of available treatment.

Severe: These children will require on going assistance or intervention on a full-time basis.  While these needs may be more intensive episodically, they are such that on going monitoring is required to maintain child health and safety as well as health and safety of those in contact with the child.

Examples-

Children with a terminal illness or one who is bedridden and requires special medical treatment. 

Children who is schizophrenic, autistic and/or who acts out destructively such as a fire-setter or a serious suicide risk. 

Children who has a combination of serious physical handicaps such as deafness and blindness who will require constant and ongoing assistance.

Children with progressive debilitating diseases such as Multiple Sclerosis, Cystic Fibrosis or sickle cell disease maybe included in this category.

Moderate:  The child has a problem/disability that is serious enough to require special help on a regular basis including ongoing medical, psychiatric and/or psychological treatment to address medical or behavioral needs or supervision from parents.  Problems at this level will usually require frequent and ongoing visits to medical or mental health professionals.

Examples-

Children who exhibits seizure activity or acting out behavior

Children who requires insulin injections to control a diabetic condition

Children whose mental retardation is at an educable level (i.e.-he or she will require some supervision in adulthood).

Children who has recently or is soon to require serious surgical intervention for chronic condition such as open heart surgery.

Children with learning problem causing the child to be three years or more behind in school.

Mild: These are  children with a problem/disability that requires an ongoing higher than average level of parental attention and intervention.  Their conditions require more than the routine monitoring and assistance associated with good parenting skills and recommended child rearing practices.

Examples-

Hearing loss or vision (disabilities greater than the need for glasses) requiring regular medical treatment and monitoring. 

Counseling to address past issues of abuse or neglect.

Need for a special diet.

Learning problems that cause the child to be a year or two behind in school work.

Some acting out behavior or hyperactivity.

A high-functioning level of mental retardation.

Mild developmental needs including significant speech and language delays

Asthma requiring occasional or seasonal treatment

Adjustment disorders

Difficulty with attachment due to multiple placements

Muscle tone/coordination development needs.