Application

To apply, you may submit the online application below, fax the attached application to (859) 936-9945 or mail the attached application to us. You will immediately be emailed a home study packet and contacted within 24-48 hours by your assigned adoption worker. The application fee may be paid by a personal check or using Paypal.

Pay with PayPal




 


Pay by Check

Make checks payable to:
Adoption Assistance
Mail to:
PO Box 2210, Danville, KY 40422

If you choose not to mail in an application, please fill out the information below and submit your application online.

Application

Adoptive Father


Adoptive Mother


-


Residence


-


Adoptive Father Information


-


Adoptive Mother Information


-


Background Details


-


Adoption Details


-


(By entering your names above you are signing this application)
A $50.00 application fee is due with the completed application form.
Sending

LOUISVILLE
173 Sears Ave #267
Louisville, KY 40207
(502) 254-2425

DANVILLE
P.O Box 2210
Danville, KY 40422
(859) 236-2761

NASHVILLE, TN
4021 Windwood Ln.
Nashville, TN 37214
(615) 391-3099