Grant Application

Before submitting your application, please note: MyDream Adoption grants can only be paid directly to a licensed adoption agency or lawyer (not a consultant). We will not reimburse expenses paid via loan or credit card, or those covered by money you already have in escrow with an agency. We only pay out for the last amount due.

Additionally, if you took placement prior to the previous grant deadline, you are not eligible. Extremely rarely there are exceptions to this requirement (e.g. adoption dissolution placements, older child placements, kinship or guardianship adoptions, special needs placements); if you believe your case may be an exception, please reach out to us for more information before applying.
You will be required to upload documents before you can submit this application. You can fill out the application first, save, and return to attach them before submitting your application. The required documents: Personal Statement, Home Study, Taxes (two years), Anticipated Expenses Sheet (from agency, lawyer, or consultant).

Please note: you MUST have a home study or a comprehensive home study summary; unfortunately, if your adoption does not require one or your agency is unable to provide this, you are not eligible.

Have you received a grant from MyDream Adoption in the past? *YesNo

How many times have you applied for a My Dream Adoption grant for this adoption (Not including this application)? *

Are you adopting as an individual or as a couple? *IndividualCouple

Legal First Name: *

Last Name *

Preferred Name (if applicable)

Date or Birth *

Address *

City

State

Zip Code

I live outside of the U.S.Yes

Phone Number *

Email: *

Comfirm email: *

Employment Status: *

Job Title :

Company :

Does your company offer adoption benefits?YesNo

Do you identify as a member of the LGBTQ community?YesNoPrefer not to answer

Adoption Information

How many children do you and your partner have together? 🛈

How many of your children live at home full time?

How many of your children are adopted?

Is anyone in your immediate family adopted, an adoptive parent, or connected with adoption? *YesNo

what type of adoption are you pursuing? *Domestic Newborn AdoptionInternationalFoster to AdoptOther, please explain

Please note: If you took placement before the previous grant deadline, you are not eligible. In extremely rare cases (i.e. adoption dissolution placements, older child placements, kinship, special needs), we may be able to consider your application; please reach out to us for more information before applying.

Is this a special needs adoption? *YesNo

Are you adopting asibling group?YesNo

Are you adopting the Bio-sibling of your children? *YesNo

What type of organization are you currently working with in order to complete the adoption? Please answer for your primary adoption service provider: *AttorneyLicensed Adoption AgencyAdoption ConsultantFoster CareOther :

What is the name of the company you are working with? *

Please list any other adoption specialists you are working with, their costs, and what they provide: * *

Have you been a foster parent? *YesNo

Have you experienced a failed adoption?YesNo

Have you experienced infertility? *YesNoN/A

Please describe where you are in the adoption process and your anticipated timeframe: *

Financial Information

What was your total household income last year? *

What is your projected TOTAL GROSS household income this year? *

T**Include ALL sources of income, including housing stipends, child support, and untaxed clerical income; do not enter your after tax income or your adjusted gross income. *

Comments regarding income : *

What is thwe total balance of your checking accounts? *

What is the total balance of your savings? *

What is the combined net worth of your qualified retirement accounts? *

To what extent is the accessible? *I can withdraw any amount without penaltyIcan withdraw a limited amount without penaltyI can take out the loan against the amountI can withdraw at penaltyIt is not accessibleOther :

If you have any other monetary investments (property listed later), what is their total value? *

Do NOT list any funds listed elsewhere on this form under "other"; e.g. do not include retirement funds, property, etc. Make sure you include things like a separate ROTH IRA under retirement, do not include the value of your primary residence (requested below). Please describe: *

Do you rent or own your living space? *RentOwnOther, please explain

How many cars do you own? *

What is the total value of your vehicle?

Do you own a business?YesNo

Do you own or rent any other property (including time shares)? Please include any other valuable property not listed elsewhere (boats, campers, investment land, etc.) *YesNo

If you CURRENTLY make any monetary charitable donations (i.e. to schools, churches, ministries, etc.), please list the total annual amount given:

Have you applied for any loans in order to pay for your adoption?YesNo

Approximately how much non-adoption-related debt to you have? Please list in the following categories:

Credit Card Debt :

Student Loans :

Car & Truck Loans :

Medical Loans :

Text

Other (pTotal debts, not including mortgage :

What is your total Estimate net worth? *

How have you paid for your adoption expenses this far? *

How do you intend to pay for the remaining balance should you not receive this grant or if this grant does not cover your full balance? *

Have you applied for any other grants? *YesNo

What other types, of funding have you received? *Fundraising (e.g. GoFundMe, t-shirt fundraisers)Gifts from family/friendsAgency grant/discountOthers

Total fundraising received from other (non-grant) sources:

How much would you like to request from MyDream Adoption? 🛈 *

Additional comments regarding your financial status, or the information you provided above:

Adoption Expenses

Total estimated cost of the adoption: *

Total adoption-specific services cost payable to a licensed provider: *

Total costs payable outside of your licensed professional (i.e. travel, medical, etc.) 🛈

Paid Expenses

Total amount paid to date : *

Anticipated Expenses

Total estimated remaining expenses :

As stated previously, please know that we can only pay out grant funds to a licensed US-based adoption agency or lawyer for outstanding expenses. Any other expenses are not eligible for grant funds.

Expenses Sheet

Please submit a letter from your agency, lawyer, or consultant listing all fees paid to date, and all anticipated future charges and the anticipated due date ("At Match" or "At Placement" is sufficient). This should include fees not only due to the agency, but a list of fees estimating travel and birth mother costs. If you are working with a consultant, we understand that the remaining expenses are only an estimate.

Expense Sheet : *

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Expenses Note :

Supplemental Materials

The following documents must be submitted. If you are not submitting any of the following documents, please note why in the comments section. If you are having trouble attaching a document, please email info@mydreamadoption.com. We strongly discourage you from submitting documents via email for security purposes and because they can be difficult to match to an application. If you submit any documents via email, you must include your form reference number in the email subject. Do not mail your personal statement or tax documents, your application will not be considered. The only document eligible for submission via mail is the home study. We prefer PDF files for your home study, tax return, and personal statement. If you are having trouble reducing the size of a document or combining documents, consider using pdf2go.com

Home study

Please attach a copy of your approved, valid home study. If you have had a home study renewal processed, please include a copy of the (most recent) renewal and the original home study. We require the full home study, not an approval letter; your application will not be considered without this document.

Home Study : *

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Renewal (if applicable) :

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Please have them email the document to info@mydreamadoption.com or mail to MyDream Adoption PO Box 305 Randall St, Bagdad, AZ 86321, USA. It must be received by the application deadline for you to be considered. If possible, please have them reference your application number.

Form Section

The personal statement is your opportunity to explain to the grant committee why you should be selected to receive a grant. Some things you might want to discuss: If you have been matched already, tell us about the child you're adopting. Let us know why you require financial assistance to complete the adoption. Tell us about who you are, and why this grant is important to you. Be sure to address: any special considerations you would like the grant selection committee to know about; any past experience with adoption or foster care; what has inspired you to build your family through adoption; anything not addressed in the application that you feel we should know. There is no minimum or maximum length requirement. We recommend approximately 1-2 typewritten pages. WE DO NOT ACCEPT HANDWRITTEN STATEMENTS. Keep in mind that the best way to increase your chance of receiving a grant is to include a meaningful personal statement. If no statement is submitted, your application WILL NOT BE CONSIDERED.

Personal Statement : *

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Tax Documents

Please attach the first two pages of your 1040 form from the last two years. If you own your own business, please include any pages you feel are relevant to your household income. Please DO NOT attach your full tax return.

Last Year :

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Two Year :

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Additional Documents

If there are any additional documents you would like to include with your application, please attach them below.

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Comments regarding attached documents :

Answers to the following questions will not affect your likelihood of receiving a grant.

How did you hear about MyDream Adoption? *

Additional comments :

Any recommendations regarding the application itself? We'd love to hear them!