Building Families Fund 2025

Building Families Fund

2025
Building Families Fund is a designated fund of the Topeka Community Foundation established to provide financial assistance to benefit individuals and couples desiring to complete domestic and international adoptions. Successful grant applications will receive a portion of verified adoption costs, including but not limited to the agency fee, orphanage donation, a homestudy and reasonable travel. Personal items including but not limited to physical exams necessary for adoption, postage, photocopying, and gifts to the birth mother will be excluded from the total of adoption costs. Income tables in accordance with the IRS regulations allowing for an adoption deduction will be followed to determine if less grant money will be awarded. Grants will be sent directly to the agency facilitating the adoption.

REQUIREMENTS
The Advisory Committee of the Building Families Fund will review applications and make final funding decisions. Applications will be reviewed every May and November. If your adoption is being finalized before the review process begins, please contact Alicia VanWalleghem at vanw@topekacommunityfoundation.org to request an early review.

As part of this review, the Committee will consider the following criteria:

-Kansas residents or those with Kansas ties will be given first preference. Then grants will be given to others as funds allow.

-Those applying must have a professed Christian faith and a letter of reference from their pastor.

-Those applying must have a completed homestudy.

-Single parents will be considered.

-Both domestic and international adoptions will be considered.

-Completed adoptions will not be considered.

-Private adoptions will be considered, but not given priority. Payments would go directly to the attorney.

-Adoption agencies may be contacted to get recommendations about specific applicants. A release form must be signed to allow for this communication.
Applicant #1*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Applicant #2

First NameLast Name
Date of Birth

MonthDayYear
Date
Are you married?*

YesNoOther
If yes, how long have you been married?
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
What is the name of the church you attend?*
Are you a member?*

YesNo
If you are not a current Kansas resident, please explain any ties to Kansas you may have:*
What is the cost per child for adoption, not including travel expenses?*
What is the cost per child for travel expenses?*
What is the total amount of the adoption expenses you have paid to date?*
What is the total amount to still be raised?*
Please list other sources of income to pay for the adoption, such as family contributions, church, employer, etc.:*
What is the name of your adoption agency?*

Family Composite
Please list the names and ages of the children currently living at home:*
Are there other family members living in the home, such as children over 18, grandparents, etc.? If so, please list, including the relationship:*
Photos of you and/or your family:*

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Financial Information

Income
Annual Income- Applicant #1:*
Annual Income- Applicant #2 if applicable:
Dividends and Income:*
Net Rental Income:*
Other income:*
Describe any "Other Income" as indicated above:
Total Income:*
Financial Balance Sheet

Assets
Savings Accounts*
Checking Account total:*
Money Market funds:*
Value of Real Estate- Residence:*
Total Stock & Bond holdings:*
Values of Real Estate- Other (please list):*
Vested Interest Retirement:*
Net Worth Business Owned:*
Total value of Automobiles Owned:*
Other Assets- provide detail:*
Total Assets:*
Financial Balance Sheet

Liabilities
Automobile Loans:*
Personal loans (credit cards, bank loans, student loans, etc):*
Real Estate Loan- Residence:*
Real Estate Loan- Other:*
Other Liabilities- provide details:*
Total Liabilities:*
Net Worth

Total Assets- Total Liabilities= Net Worth
Total Assets (from above):*
Total Liabilities (from above):*
Net Worth:*
Attach copies of the first two pages of the past three year's income tax returns:*

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Attach a summary of of your household expenses for the past year:*

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New budget reflecting newly adopted family member(s):*

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Detailed list of adoption costs, and verification of those costs:*

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Attachments

Please attach the following information:
A cover letter explaining your decision to adopt a child and where you are in the process (maximum of 2 pages):*

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Letter of reference from your pastor:*

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Your current homestudy:*

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Authorization to Release Information
I/We authorize an adoption agency to release information to the Building Families Fund, a fund of the Topeka Community Foundation, with regard to a pending adoption involving the person or persons listed below.

I/We understand that the adoption agency may be contacted by the Topeka Community Foundation requesting a recommendation, which will be taken into consideration as my/our application for financial assistance from the Building Families Fund is reviewed.
Name of Adoption Agency:*
Contact Person:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Indicate your permission by typing in the full names of each applicant below:
Should be Empty:

Building Families Fund

Family Composite

Financial Information

Financial Balance Sheet

Financial Balance Sheet

Net Worth

Attachments

Authorization to Release Information