Freddie Mac Foundation - Making Home a Place Where Children and Families Thrive

Interest Form

To express interest in a particular child please fill out this form. If you have a completed home study, the information will be forwarded to the child's social worker and you will be contacted by him or her. If you do not have a completed home study, you will also be able to request a free information packet upon completion of this form.

Parent 1 First Name: *

Parent 1 Last Name: *

Parent 2 Last Name:

Parent 2 First Name:

Mailing Address: *

Mailing Address (2):

City: *

State/Province: *

Postal Code: *

Email Address: *

Home Telephone Number: *

Parent 1 Daytime Telephone #: *

Parent 2 Daytime Telephone #:

Parent 1 Ethnicity:

Parent 2 Ethnicity:

Home Study

Completed Home Study: *

Agency Name:

Name of the agency which completed your Home Study.

Agency Telephone Number:

Date of Homestudy Completion:

If you have seen the Freddie Mac Foundation's Wednesday's Child television feature, in which city or cities did you see it?

If you have seen the Wednesday's Child television feature, what day or days did you see it?

Wednesday

Other day

Have you previously contacted a Freddie Mac Foundation's Wednesday's Child organization to express a featured child?

How did you learn about the Wednesday's Child website?

If you learned of this website from another source, please enter the source here.

Info Packet:

Would you like to receive an information packet from the National Adoption Center about adoption?

National Adoption Center