What is your email address, so that we may follow up with you? *
Your answer
What is your phone number, so that we may follow up with you?
Your answer
Where do you reside (City, State)? *
Your answer
What is your mailing address? (We may want to send you some goodies)
Your answer
What is your relationship to Black Adoption? *
What age range do you fall within? *
Required
If you are a Black adoptee, were you adopted by Black parents? *
What type of adoption did you experience? *
How old were you when you found out you were adopted OR that Black adoption had impacted your family (for those who are not adoptees)? *
Required
Are you within your search and reunion process? *
Please share your experience with Black adoption in no more than 250 words. *
Your answer
What would be the title of your episode? *
Your answer
If we select you for an interview and share your story, do you want us to keep your name confidential? *
If we select you for an interview, would you be willing to share a photo of yourself? *
If we select you for an interview, what social media handles and/or website information would like for us to promote?
Your answer
Please share any adoption-related resources that have helped you, or others, on their healing journey? This could be books, movies, podcasts, OTHER PEOPLE, etc. Don't know of any? That's ok too!
Your answer
Do you have a referral for a potential podcast guest? If so, please share the individual's name and/or social media information so that we may contact them.
Your answer
Thank you! We appreciate the time that you have taken to complete this form and share your experience. At Black to the Beginning, we celebrate our unique narratives. With each story, we are closer to minimizing the secrecy, stigma, and shame of Black adoption.