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Adoptive parents provide a "forever family" for children in the agency's permanent custody. Just like foster parents, adoptive parents need to work hard to incorporate the child into their family so that they may be successful not only in the placement, but in life. Once the child's adoption is finalized, the adoptive parents take on full responsibility for that child's health, education, and overall well being. To become an adoptive parents you must meet certain requirements and also be willing to participate in a very thorough and in-depth home study process. The requirements include such things as being at least 18 years old, having an income that is sufficient to support your household, and being free from any condition that could negatively affect the care of a child in the agency's permanent custody. Some of the activities that must be completed during the home study process are as follows: home visits by an adoption assessor; interviews with all household members; fire and safety inspections; fingerprinting/criminal record checks; medical examinations; reference checks. Furthermore, all adoptive homes must attend a 36 hour pre-service training prior to approval by the agency. Once all activities are completed successfully, the agency will approve your home study. Unlike foster parents, adoptive parents are not licensed by the state. After approval, the adoptive parent’s home study can be considered for the placement of children in any agency's permanent custody. Updates of the home study must occur at least once every two years. Other services that may be available to adoptive parents include the following: adoption assistance/subsidies, pre-finalization services, post finalization services, medical card and case management. It is important to note that eligibility for some of the financial programs must be determined (on either the child and/or the family) and therefore, may not be available for every adoptive family.