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Human Library Form
Name
*
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Last
Email
*
What is your role in the adoption & permanency galaxy?
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An adopted person
An adoptive parent or family
A kinship caregiver/family
A customary care caregiver/family
A prospective adoptive parent or family
A birth/original parent, family member
A foster parent
An adoption professional
Family or friends of pre-adoptive/adoptive family
Other
If you selected other, please tell us more
Brief Bio Outlining Your Connection to Adoption & Permanency:
*
This will be used as an introduction in your post.
Topics you would like to be a book for:
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Blog
Art work
Poem
Lyrics
Song
Other
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Text Submission:
If your submission is text then please submit it here.
Photo Submission
Max. file size: 256 MB.
If your submission is a photo please upload it here.
Availability
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I give permission for ACO to use my work as they see fit, including editing it for length/clarity, for unlimited time:
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How would you like their name/book title to be provided to borrower
