Adoption Grant Application – ONEless Ministries

Adoption grant application

As you prepare to submit your application, please make sure to review our checklist to make sure you have completed all the documents needed.

Have questions? Check out our Adoption Grant FAQ’s or Contact Us and we will be happy to answer any of your questions.

Download the PDF here to print and fill out a paper copy, or fill out the form below.

Husband's Name

Date of Birth

Wife's Name

Date of Birth

Street Address

City

State

ZIP

Phone #

Date Married

Biological Children & Ages

Adopted Children, Ages, & Countries

Husband's Employer & Position/Title

Wife's Employer & Position/Title

Church Name:

Denomination

Are You a Member?

Yes No

Years Attended

Amount in Checking Acct.

Amount in Savings Acct.

Amount in Cash

Do You Follow a Monthly Budget?

Gross Income

Current Year

Last Year

Previous Year

Monthly Tithing Amount

Monthly Housing Costs

Monthly Food Costs

Monthly Utility Costs

Monthly Debt Repayment

Is there any additional information you'd like us to know about your finances?

Adoption Agency & Address

Agency Case Worker

Phone #

Country

Date Home Study was Completed

Child(ren) You're Adopting, if You Know

Special Needs?

Yes No

Sibling Group?

Yes No

Sex

Male Female

Expected Travel Time

Total Adoption Costs

Amount Collected in Fundraisers/Grants/Gifts

Remaining Balance

As you continue in your adoption journey, please continue to update us along the way. Your most recent information will be presented to the grant committee when they review your file.

Checklist:

• ____ 2 Personal References

• ____ 1 Pastor Reference

• ____ Proof of your agency’s 501c3, nonprofit status

• ____ Personal adoption testimony (250 words or less. Please type on separate sheet.)

• ____ Most recent tax return (first two pages… Please black out social security numbers.)

• ____ Previous years tax return (first two pages… Please black out social security numbers.)

• ____ Completed Home Study

*References can be submitted in your packet of supporting documents. After they are filled out, please have your references give them back to you in sealed envelopes and include them with your packet of supporting documents. If your pastor has completed a reference for you within the past year, you may make a copy of his reference (in lieu of him completing our specific reference form) and include it in your packet of supporting documents. All documents must be mailed together in one large envelope.