Registration

Family Last Name:

Registration Date: (mm/dd/yyyy)

Binder Orientation Date: (mm/dd/yyyy)

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Home Study

Family Last Name:

Home Study Agency:

Caseworker Name:

Caseworker Visit One: (mm/dd/yyyy)

Caseworker Visit Two: (mm/dd/yyyy)

Caseworker Visit Three: (mm/dd/yyyy)

Caseworker Visit Four (If Applicable): (mm/dd/yyyy)

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U.S. Citizenship Immigration Services

Family Last Name:

Fingerprint Expiration: (mm/dd/yyyy)

I-171H Expiration: (mm/dd/yyyy)

GUZ# (China Only):

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Education

Family Last Name:

Education finished:  (mm/dd/yyyy)

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Dossier

Family Last Name:

Copies of Dossier sent to Gift of Love: (mm/dd/yyyy)

Dossier Sent to Country: (mm/dd/yyyy)

     Country: China Guatemala Kazakhstan Philippines Russia Ukraine Vietnam  

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Referral

Family Last Name:

Child's Foreign Name:

Date of Birth: (mm/dd/yyyy)

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Travel

Family Last Name:

Travel Dates:

      Trip One Departure Date: (mm/dd/yyyy)

      Trip One Arrival Date: (mm/dd/yyyy)

      Trip Two Departure Date: (mm/dd/yyyy)

      Trip Two Arrival Date: (mm/dd/yyyy)

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Naturalization

Family Last Name:

Child's Adoption or Registration Date: (mm/dd/yyyy)

Naturalization Certificate Date: (mm/dd/yyyy)

Date N600 Sent to CIS (IR4 Only): (mm/dd/yyyy)

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