Adopt A Family | Volunteers of America Michigan

Campaign Information

Name

AAF 2026

Contact Information

First Name

Middle Initial

Last Name

Password

Confirm Password

Primary Contact Phone

Cell Phone

Alternate Phone

Note: We will use this phone number ONLY if your home phone or cell phone does not connect with you. Please make sure the owner of this phone number knows you listed their number in our application.

Who's phone is this?

How are they related to you?

Address Information

Address

Address 2

i.e. Suite #, Apartment #, etc

City

State

Zip

Country

United States

Crossroad

Crossroad 2

Application Information

Your Date of Birth

How many people live in your home?

Are you married?

Have you ever served in the military?

Are you a senior (Age 62 or older)?

Are you a VOA Client or resident?

If yes, who is your case manager or community administrator?

Total Household Income

Must turn in income information for ALL adults in the home

Why do you want to be adopted?

Please do not include your name.

Reference Information

Reference Name

Reference Phone

How are they related to you?

I understand that adoption is not guaranteed with this program

I understand that there are thousands of applications for the this program and that the program’s staff processes them first come first serve. Depending on the number of applications my application may not be processed in time.