Adoption-Friendly Workplace - Dave Thomas Foundation for Adoption

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Adoption-Friendly Workplace

Adoption Benefits Survey

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Adoption-Friendly Employers & Benchmarks Voice of Experience: Featured Quote Adoption Benefits Survey Best Adoption-Friendly Workplaces List 2008 Best Adoption-Friendly Workplaces List 2007

Take Our Adoption Benefits Survey

Are you adoption-friendly? If your organization offers financial reimbursement and/or paid leave for employees who adopt, let us celebrate you on our web site and register you for the next Best Adoption-Friendly Workplaces list. Complete our adoption benefits survey online (below), or call 1-877-777-4222 or download our survey form.

Employer Information

Company Name:
How did you hear about us?:
Industry:
Number of employees:
Company web site:
Financial reimbursement numbers only please (no dollar signs)
Dollar amount of maximum financial assistance per adoption:
Dollar amount of additional financial assistance for special needs adoption:
Leave for adoption
Maximum weeks of paid leave or partially paid leave for adoption. Do not include use of accrued vacation, sick or personal time:
Maximum weeks of unpaid leave beyond FMLA, if applicable:
Permission To Share
The Foundation shares examples of adoption reimbursement and leave to employers establishing policies upon request:	You may include my organization's name in these reports We prefer to remain anonymous
Implementation
Criteria for usage:
Eligible When?:
Date policy went into effect:	Now
Utilization rate annually:
Factors influencing decision (please check all that apply)
	Employee requests for adoption benefits:
	Equity for adoptive versus birth parents:
	Competitive work/life benefits package:
	Family-friendly image:
	Right thing to do:
Contact Information
*First Name:
*Last Name:
Title:
Company headquarters street address:
Company Headquarters - City:
Company Headquarters - State / Province:
Company Headquarters - Zip / Postal Code:
If your mailing address differs from company headquarters, please enter it here:
Phone (please include full phone number):
*E-mail:
Other
Please tell us about other ways you support adoptive families or the cause of adoption: