"" 1 Your First Name Your Last Name Personal Information Marital StatusSingle (never married)Single (legally divorced)Married Separated Are you married to the birth father?YesNo If married or separated, name of spouseno-icon Are you a member of a Native American Tribe or Alaskan Village?YesNo Are you registered?YesNo If yes, what tribe or village?no-icon Do you live on a reservation?YesNo Enrollment #no-icon Is the birth father a US citizen?YesNo What is the birth father's racial background?no-icon Will the birth father be involved in the adoption plan?YesNoNot Sure Is the birth father aware of the pregnancy?YesNo Is the birth father aware of the adoption plan?YesNo Is the birth father willing to consent to an adoption?YesNoMaybe Is the birth father a member of a Native American Tribe or Alaskan Village?YesNo Enrollment #no-icon Does the birth father live on a reservation?YesNo Is the birth father a member of the armed forces?YesNo If yes, what branch and dates of service?no-icon NEXT Previous Next
