Hannah's Hope Family Intake Form 2021
Please fill out the following so we can pray for you during your journey!
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Email *
First Name Mother *
Last Name *
Father's Name
Phone Number *
Email *
Preferred Communication
Other Children in Home: (Name/Age/ Foster/Adopt/Step/Bio)
Blog; twitter or other social media:
Date of transition/ placement (est)
Next Court Appearance/ Details:
Do you or your child see a therapist or counselor?
Is the child on any meds, supplements or other?
Family Makeup/ Background : Spouse, children (bio, adopted, fostered) and any specific need areas to discuss.
Personal Testimony or where you see yourself spiritually: (Both Parents)
Any Church Membership/ Affiliation:
Member or Attendee
Describe Your Support System: (Family, Small Group, Friends, care team etc.)
What agency are you currently working with? *
List anyone who is part of your inner circle now who may be interested in supporting you through prayer, support, and encouragement as part of your HH team.Name, Email or Cell (Best contact) How you know them (neighbor, tennis, church etc).*Please note that this section is NOT a requirement for participation with a Hannah’s Hope Team. It is simply a way to engage your community, if you so choose. We also want all families to know that prayer teams are comprised of seasoned Christ- followers with a heart bent toward Jesus, Justice, kids and prayer.
The team is NOT a substitute for counseling but Ignite Hope does offer family coaching in the peer- specialist style for families needing more in-depth support. Ignite Hope does not charge families to be a part of our support programming; however being a non- profit we do need to fundraise for support to continue the programs and services we provide cost-free to those on orphan care in need of strategies, resources and encouragement .We humbly ask Hannah’s Hope families to share our DADD’s initiative- Dollar a Day donors fundraising effort to increase awareness and funds for the strategic prayer support that is our key distinctive. In this way we seek for our families to help pay it forward for subsequent families walking this road behind them. Donor opportunities can be found at www.ignitehope.online
Note:  Ignite Hope is happy to share any resources or Christian counseling contacts if the family requests. Ignite Hope receives no compensation for any suggested referral, and assumes no liability for third party intervention.                                                          
Please use the following space to share additional information that will help us when forming your support team?
 Initial Below:                                                                               Disclaimer:Ignite Hope is not a counseling entity, but we are a prayer support ministry. We believe strongly in specific, strategic prayer (Ephesians 6, James 1:27) and sincerely desire that any family walking out a foster or adoptive journey not have to walk this out alone. If at any time information is shared with prayer team members or staff that suggest a team member might hurt themselves or others, we will share this information with the appropriate intervention organizations. All information shared with the team is considered confidential and protected, but please use discernment in sharing any potentially sensitive information. Families recognize that sharing via cell, email or phone affords expediency and accessibility, but can be seen by others if texts or email is left open or unattended.If a family and team choose to get together in person, that SHOULD BE BOTH a personal AND prayerful decision and is not considered part of HH.                                                                                                     *
Sign and Date below:                                                              By Signing and Dating this document the parent is agreeing to enter into a prayer partnership with Ignite Hope via the Hannah’s Hope Program. The parent understands that any sensitive information regarding the minor child’s past, time in care, treatment (or other) plans and medical/ psychological care are shared with the understanding of confidentiality, but sharing in a digital form - Ignite Hope cannot be held liable if that format is compromised. Please use prayerful discernment, knowing that each prayer warrior is agreeing to hold your story in honor and in prayer. Although we believe in specific prayer and the Bible asks us to share our petitions with the Lord truthfully, we know that we are praying HIS Best will in the situation; therefore, we cannot promise that the outcome of your foster or adoption journey will be written exactly the way you are hoping - but we can promise that you will not walk this out alone. Only Parents or Guardians 18 years or older may sign this agreement. Most teams are together from 9 months to 18 months depending on season and circumstance. At the close of these timeframes, Ignite Hope will reach out to determine closing or continuing options. Ignite Hope asks parents to connect with their prayer teams in whatever form is mutually advantageous no less than once per month.           *
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