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Information Request Form
Information Request Form
* = A required field or step.
Free Online Phone Conference
To participate in a free online phone conference (information meeting by phone with supplemental slide show via the web) choose a date below.
These meetings are designed for families who live outside Minnesota, Iowa and Western Wisconsin.
Learn about international programs from CHSFS staff, ask questions, and follow along with a slide show. Confirmation and instructions on calling in and accessing the slide show will be emailed to you. PLEASE NOTE THAT TIMES LISTED ARE FOR THE CENTRAL TIME ZONE.
RUSSIA Specific: Wednesday, May 14, 2008, 5-6 p.m. (Central)
ALL International Programs: Overview, Process, Programs and Fees: Thursday, May 15, 2008, 6-7 p.m. (Central)
ETHIOPIA Specific: Monday, May 19, 2008, 6-7 p.m. (Central)
Information by Mail
Please send information by mail on CHSFS's international adoption programs, that are currently accepting new applications. I am interested in the following programs:
Russia
Ukraine
Uzbekistan
Ethiopia
China
Korea
Peru
Mexico
Waiting International Children (WIC) program
Send a printed
WIC
photo album
India (temporarily accepting
WIC
applications only)
Colombia (temporarily accepting
WIC
applications only)
Vietnam (temporarily accepting
WIC
applications only)
Registrant 1
*First Name
*Last Name
Age
Marital Status
Married
Single
*Email
Registrant 2
First Name
Last Name
Age
*Street Address
*City
*State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Colombia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip Code
*Home Phone
*How did you hear about us?
Referral by a family or friend
Referral by an adoption agency
Referral by a partner agency
CHSFS Poster
CHSFS Publication/Newsletter
Internet search engine: Google, MSN, etc.
Workplace/HR
An Adoption Conference/Fair
Additional comments:
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