Date Full Name*Email* Type of services HIC provided* My child was adopted through an HIC program Home Study Services Post-Placement Services Readoption Services Search & Reunion Services Embryo Matching Services Surrogacy Services Support or Counseling Adoptive Parent Training Other Year or years when services were providedPlease provide basic information about your childWhere was your child born? How old was your child when he or she was adopted? What support services did your child or you receive from HIC?Please summarize your experience working with HICIf you have any "warm and fuzzy" thoughts about HIC, please share them below.Your comments will likely help HIC help more families in the future! Would you or have you recommended HIC to others? Why or why not?Please provide one or more high quality photographs of your child or your family Drop files here or Are you willing to be listed as a "Friend of HIC" on promotional materials?--YesNoThis may mean that the information you have provided may be shared with the public through printed materials or social media.By typing my name below, I hereby grant HIC permission to use the photographs and information provided in any and all of its publications, including web-based publications, without payment or other consideration. In addition, I waive any right to inspect or approve the finished product where such photos or verbiage appear. I understand that HIC will not my publish my name in connection with any information I supply above.