Search the MARE Photolisting

 

 

Last Name:
First Name:
Date of Birth: (MM/DD/YYYY)
DHS Case Number:
Permanent Custody Date: (MM/DD/YYYY)
Legal Status:
County of Commitment:
Race/Ethnicity:
Gender:

Sibling Group Information:
Is child being adopted as part of a sibling group:
If Yes, Total number
of siblings:
If Yes, Names of sibs being placed together:
If No, Why are siblings not being placed together:

Interested Family Information:
Are Foster Parents or relatives interested in adopting this child:
Is there any other interested family at this time:
If Yes to either of the above, explain reason for photolisting child:

Child's Personality:
Provide a Strength-Based description of the child including positive characteristics, likes, interests and special talents:

Child's Health and Developmental Status:
Physical/Medical Please list specific diagnosis (if any) and explain how this is demonstrated in daily functioning:
Emotional/
Behavioral/
Mental Health		 Please give examples of how this impacts daily functioning:
Developmental/
Cognitive		 Please list specific diagnosis (if any) and explain how this is demonstrated in daily functioning:
Is this child expected to function independently as an adult
Education Level:
Grade:  
Learning Disability Level: Diagnosis and/or example of disability:
Certified for Special Education:
Describe the Child's academic functioning, behavior in the classroom and peer interactions:
 

Placement Information: Mark all boxes that apply
 








If child must stay in Michigan, please describe reasons:
 

Qualities/Skills of Adoptive Family:
Briefly describe the qualities that would be important for a potential adoptive family to demonstrate in order to appropriately address this particular child's needs. Include other factors to be considered (such as geographical location of adoptive family, the child's school, therapeutic services, completion of residential treatment program, etc.) in placement decisions that would best meet this child's needs:
 

MARE strongly suggest that workers also provide the purple "What I Want Others to Know About Me" form to the child to fill out and the gold "What Others Say…" form to foster parents, therapists etc. to fill out to provide additional information that will help MARE provide a more well-rounded description of the child.

 


Agency Information:
Agency Responsible for MARE registration:
Contact Worker for inquiries:
Contact worker's phone number and extension:
Contact worker's agency (if different from above):
Your email address:
Agency Address:
Agency City:
Agency ZIP code:

Photo Information:
How will MARE be receiving the photo:
When can MARE expect to receive the photo: MM/DD/YYYY)

PLEASE NOTE: A clear, well-lighted photo of the child or sibling group must be submitted along with this registration form. If no photo is submitted, the registration form will be considered incomplete and may be counted as late if it is re-submitted after the original due date.

You may email a photo

  • emailed photos must be NO SMALLER than 3.5 inches high, and NO LESS than 200 dpi
  • Digital images must be saved as JPEG files (ex. "filname.jpg")
  • Please try to send as clear and quality a photo as possible

Click here to start an email message

You may also mail a photo of the child or sibling group to the MARE office.
You may contact the MARE office at (800) 589-6273.

Photos that are sent by fax, photocopies or scanned and printed on paper will not be accepted. Photos and digital images that are dark and /or blurry will not be accepted.