Adoption Referral Form
On Campus Mom Foundation
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Email *
Form submission date: *
MM
/
DD
/
YYYY
Name of person submitting referral: *
Referring party's telephone: *
The referring party is a: *
Name of student in need of adoption: *
Email of student in need of adoption: *
Telephone number of student in need of adoption: *
Gender:
Clear selection
Current class level of student: *
Projected graduation year: *
Housing status: *
Meal plan status: *
Residency status: *
Items the student likes:
(Items that adopting families can send in care packages and/or activities the student enjoys)
 *
Student Needs:
List item(s) that the student is in need of:
 *
Contact with adopting family: *

It is at the sole discretion of the student wishing to be adopted as to whether they want to remain anonymous or have contact with their adopting family. However, we have found that students who are listed as interested in having contact with their adopting families in most cases are adopted in a shorter period of time than those wishing to remain anonymous.

In many cases, anonymous Bears after experiencing the kindness of others choose to convert to having contact with their adopting family. If at any time that is the desire of the anonymous adopted Bear, the adopted Bear should communicate that desire via email with our office at: info@ocmfoundation.org
A copy of your responses will be emailed to the address you provided.
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