Pregnant and Considering Adoption Mentor Request Form

Are you pregnant and considering making an adoption plan? Do you think it would be helpful to talk with someone who has been through it all before? If so, please fill out the brief form below. We will soon match you with a mentor, another member of BirthMom Buds who has already placed a child for adoption and has volunteered her time to help ease your journey. She will be there to listen as you consider this choice.

Please copy the questions below and paste them (along with your answers) in an email to pregandplacing@birthmombuds.com.

POTENTIAL BIRTHMOMS QUESTIONNAIRE

Name :

Age :

Your birth date:

Your due date: 

State you currently live in:

Mailing address: (This is optional of course, but we like to send out a care package around time of the baby's birth or placement.)
 

Email address:

Have you chosen to go through an agency, attorney, facilitator, or other? (If you do not know yet, its fine to say that!)

Have you chosen a family yet? 

What type of adoption are you leaning toward?

What type of mentoring would you prefer (strictly phone, strictly e-mail, or both)?

Any other comments or information you would like to tell us?? (is the birthfather involved, do you have other children, etc)

Where did you hear about BirthMom Buds?