ADOPTION LETTER OF APPLICATION & LETTER OF INTENT ...

1 Madison ADOPTION Associates Matched Sample Rev ADOPTION LETTER OF APPLICATION & LETTER OF INTENT rehabilitation and nurture plan Date: May 21, 2017 Father Full Legal Name: John William Edwin Date of Birth: January 1, 1971 Place of Birth: Albany, New York, United States of America Citizenship: USA Mother Full Legal Name: Susan Jane Edwin Date of Birth: December 31, 1972 Place of Birth: Juno, Alaska, United States of America Citizenship: USA Family Address: 123 Main Street, Pleasantville, NY, 98765 Sample Text please personalize to your situation We respectfully request to adopt Ming Ai Zheng, born on July 4, 2014 from Beijing Social Welfare Institute, as our daughter from the People s Republic of China. We have read the medical chart of Ming Ai Zheng and thoroughly researched her medical condition: Congenital Heart Disease.

2 We are confident that we can provide the best home and medical care for her. We live in Pleasantville, NY which is near Children s Medical Hospital, a highly ranked pediatric medical center. Dr. Amy Good is the director of the International ADOPTION Center at Children s Medical Hospital; he has reviewed Ming Ai Zheng s medical file and has informed both prospective parents of the surgeries and therapies needed to care for Ming Ai Zheng. At Children s Medical Hospital, there is a specialty center for children with heart conditions. The center is designed to address the complex therapy, developmental, assistive technology and care coordination needs of children, youth and adults with heart disease and physically limiting conditions.

3 The medical center also offers services of an Occupational Therapist. Therefore, Ming Ai Zheng will receive the best care possible for her medical condition. There is a strong Chinese community in Pleasantville, including many Chinese speaking families. In addition to attending school, we will make every effort to educate Ming Ai Zheng in Chinese culture including her steady involvement in local Chinese heritage groups and activities. We will educate Ming Ai Zheng in Mandarin language as well as help her to learn English for continued success in school and life. We are very supportive and loving parents to our children, Jessica, age 6, Amanda, age 4, and Erica, age 3. All of our children are very compassionate and caring individuals who are very excited to meet their new sister.

4 My wife and I are therapists (Susan: Speech-Language Pathologist, John: Occupational Therapist) with expertise in pediatrics. Therefore, Ming Ai Zheng will have two parents that love her unconditionally and are able to provide therapy and support due to their understanding and education regarding children with special needs. Madison ADOPTION Associates Matched Sample Rev We, John and Susan Edwin, will love Ming Ai Zheng as our own daughter and provide the same rights and inheritance as our biological children. We will never mistreat, abuse or abandon Ming Ai Zheng and always care for her needs. We promise to complete the post ADOPTION reports for this child at the times required by Madison ADOPTION Associates and CCCWA.

5 We both would like to thank the People s Republic of China for this wonderful opportunity to adopt Ming Ai Zheng and are eager to provide a loving home for her. We respectfully request to adopt Ming Ai Zheng as our daughter from the People s Republic of China. Signatures: _____ _____ John Edwin Date Susan Edwin Date State of , County of Subscribed and sworn to before me this day of , 20 by who is: personally known to me. produced their as identification. _____ My Commission expires: Notary Public