Is this your first grant application with TOF?
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Yes
No - I'm reapplying
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Date of This Application [mm/dd/yyyy]:
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Grant Recipient's Full Name:
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Grant Recipient's Full Address [Street Address (including any apartment number), City, State, Zip Code]:
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Grant Recipient's Telephone Number [Please use this format: (XXX) XXX-XXXX]:
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Grant Recipient's EMail Address For Notifications [if available]:
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Is the Grant Recipient a United States Citizen?
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Grant Recipient's Total Family Income [Income from salaries, interests, dividends, investments, and rentals]:
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What is your Occupation?
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To which of the following resources has the grant recipient applied?
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Home Equity Loan
Home Equity Line of Credit (HELOC)
401(k) Loan
Insurance Loan
Personal Loan
Family Loan
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How much money have your already spent on this adoption?
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What is the amount that you are requesting? [NOTE: Current funding limits our grants to $500 per child, and the child has to be in an institution, whether domestically or internationally. Unborn children, as in the case of a birthmother arranged adoption, surrogate adoptions, step-family type adoptions and similar adoptions are not eligible for grants, as our foundation is solely focused on rescuing orphans out of institutions.]:
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What is the status of your homestudy? [Note: We are only able to accept applications from families that have completed their homestudy.]
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If your homestudy is not yet completed, when do you expect to complete it?
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Is this a Domestic or International Adoption?
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If this is an international adoption, from which country?
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Are there any special medical or other needs that have to be considered?
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For what purpose(s) will this grant be used?
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What actions are still pending for your adoption to be approved?
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Expected date that you will adopt? [Please indicate if adoption is already complete]:
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How many children will you be adopting?
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What is the age of the first child?
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What is the age of the second child to be adopted, if applicable?
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What is the sex of the first child?
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What is the sex of the second child, if applicable:
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Is this your first adoption?
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Is the child being adopted a brother or sister of a child you have already adopted?
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How many other children do you have at home?
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Are there any other special circumstances that you think would be pertinent to The Orphan Foundation's approval of this grant:
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Grant Recipient's Adoption Agency and Address:
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Is you adoption agency a licensed, nonprofit adoption agency, with 501(c)(3) status?
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Grant Recipient's Contact Person at the Adoption Agency:
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Telephone Number of Grant Recipient's Contact Person at the Adoption Agency:
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Adoption Agency Contact's EMail Address (if available):
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How would you like to be notified of the status of your grant?
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Grant recipient verifies that they understand that the grant will be made through their 501(c)(3), nonprofit and properly licensed adoption agency:
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Special Consideration for why the grant monies should be given directly to Grant Applicant [Fill out only if required by your answer to verification above]:
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How did you hear about The Orphan Foundation?
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May we use your family for publicity for The Orphan Foundation and its programs to help adopting families?
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Are you interested in becoming a volunteer for The Orphan Foundation?
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Would you be able to adopt without this grant from The Orphan Foundation?
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Yes
No
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I certify that the information provided in this grant application is true.
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Yes
No
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