The Adoption Agencies Regulations 2005

SCHEDULE 4 E+W

Regulation 25(2)

PART 1 E+W INFORMATION ABOUT THE PROSPECTIVE ADOPTER

Information about the prospective adopter E+W

1.  Name, sex, date and place of birth and address including the local authority area.

2.  A photograph and physical description. E+W

3.  Whether the prospective adopter is domiciled or habitually resident in a part of the British Islands and if habitually resident for how long he has been habitually resident. E+W

4.  Racial origin and cultural and linguistic background. E+W

5.  Religious persuasion. E+W

6.  Relationship (if any) to the child. E+W

7.  A description of his personality and interests. E+W

8.  If the prospective adopter is married or has formed a civil partnership and is applying alone for an assessment of his suitability to adopt, the reasons for this. E+W

9.  Details of any previous family court proceedings in which the prospective adopter has been involved. E+W

10.  Names and addresses of three referees who will give personal references on the prospective adopter, not more than one of whom may be a relative. E+W

11.  Name and address of the prospective adopter's registered medical practitioner. E+W

12.  If the prospective adopter F1 ...— E+W

(a) [F2 is] married, the date and place of marriage;

(b) has formed a civil partnership, the date and place of registration of that partnership; or

(c) has a partner, details of that relationship.

Textual Amendments

F1 Word in Sch. 4 Pt. 1 para. 12 omitted (30.12.2005) by virtue of The Adoption and Children (Miscellaneous Amendments) Regulations 2005 (S.I. 2005/3482), regs. 1, 5(r)

F2 Word in Sch. 4 Pt. 1 para. 12(a) inserted (30.12.2005) by The Adoption and Children (Miscellaneous Amendments) Regulations 2005 (S.I. 2005/3482), regs. 1, 5(r)

13.  Details of any previous marriage, civil partnership or relationship. E+W

14.  A family tree with details of the prospective adopter, his siblings and any children of the prospective adopter, with their ages (or ages at death). E+W

15.  A chronology of the prospective adopter from birth. E+W

16.  The observations of the prospective adopter about his own experience of being parented and how this has influenced him. E+W

17.  Details of any experience the prospective adopter has had of caring for children (including as a parent, step-parent, foster parent, child minder or prospective adopter) and an assessment of his ability in this respect. E+W

18.  Any other information which indicates how the prospective adopter and anybody else living in his household is likely to relate to a child placed for adoption with the prospective adopter. E+W

Wider family E+W

19.  A description of the wider family of the prospective adopter and their role and importance to the prospective adopter and their likely role and importance to a child placed for adoption with the prospective adopter.

Information about the home etc. of the prospective adopter E+W

20.  Information about the prospective adopter's home and the neighbourhood in which he lives.

21.  Details of other members of the prospective adopter's household (including any children of the prospective adopter whether or not resident in the household). E+W

22.  Information about the local community of the prospective adopter, including the degree of the family's integration with its peer groups, friendships and social networks. E+W

Education and employment E+W

23.  Details of the prospective adopter's educational history and attainments and his views about how this has influenced him.

24.  Details of his employment history and the observations of the prospective adopter about how this has influenced him. E+W

25.  The current employment of the prospective adopter and his views about achieving a balance between employment and child care. E+W

Income E+W

26.  Details of the prospective adopter's income and expenditure.

Other information E+W

27.  Information about the prospective adopter's capacity to –

(a) provide for a child's needs, particularly emotional and behavioural development needs;

(b) share a child's history and associated emotional issues; and

(c) understand and support a child through possible feelings of loss and trauma.

28.  The prospective adopter's – E+W

(a) reasons for wishing to adopt a child;

(b) views and feelings about adoption and its significance;

(c) views about his parenting capacity;

(d) views about parental responsibility and what it means;

(e) views about a suitable home environment for a child;

(f) views about the importance and value of education;

(g) views and feelings about the importance of a child's religious and cultural upbringing; and

(h) views and feelings about contact.

29.  The views of other members of the prospective adopter's household and wider family in relation to adoption. E+W

30.  Any other relevant information which might assist the adoption panel or the adoption agency. E+W

Regulation 25(3)(a)

PART 2 E+W REPORT ON THE HEALTH OF THE PROSPECTIVE ADOPTER

1.  Name, date of birth, sex, weight and height. E+W

2.  A family health history of the parents, any brothers and sisters and the children of the prospective adopter, with details of any serious physical or mental illness and hereditary disease or disorder. E+W

3.  Infertility or reasons for deciding not to have children (if applicable). E+W

4.  Past health history, including details of any serious physical or mental illness, disability, accident, hospital admission or attendance at an out-patient department, and in each case any treatment given. E+W

5.  Obstetric history (if applicable). E+W

6.  Details of any present illness, including treatment and prognosis. E+W

7.  Details of any consumption of alcohol that may give cause for concern or whether the prospective adopter smokes or uses habit-forming drugs. E+W

8.  Any other relevant information which the adoption agency considers may assist the adoption panel and the adoption agency. E+W