Financial Aid Application

Today's Date

MonthDayYear
You must be in the adoption process using an agency that is a 501(c)(3) nonprofit organization licensed to place children for adoption.*

I confirm this
Applicant 1 Name*
Applicant 2 Name
Address*

Street Address Line 2
Email*
Applicant 1 Cell*
Applicant 2 Cell
Home Phone

How did you hear about PGOG?*
Please list t-shirt sizes of all immediate family members. If grant is awarded, we would like to share PGOG shirts with your family.
Are you using the services of an adoption consultant?*

YesNo
Where are you in the adoption process? Is your home study completed?*
Is this a domestic or international adoption?*

DomesticInternational
If international, from what country?
Name of Home Study or licensing Agency*
Do you have any adopted children? If so, please list names and ages.
Do you have any biological children? If so, please list names and ages.
Briefly share with us a summary of your adoption journey. (Please answer the following questions in this summary: Why did you choose to build your family through adoption? What do you believe is the most important thing you could impart to your children? How do you see Pure Gift of God helping you?)*

0/500

Faith and Beliefs
Please write a brief personal statement of faith.
It doesn't have to be formal, just a brief description of what your relationship with your Savior looks like.
Applicant 1 Personal Testimony of Faith:*

0/250
Applicant 2 Personal Testimony of Faith:*

0/250
Name of church you attend*
How long have you attended there?*
Pastor or Spiritual Leader's name and contact info*

What is the anticipated financial cost of this adoption? (Please fill out the chart below)*

Rows	$ Cost
Estimated Adoption Cost (not including travel)
Estimated Cost of Travel for Two People
Total Estimated Adoption Cost (including travel for two)

How do you plan to pay for this adoption?*
Please provide a line item description (below) of your fundraising efforts, other grants or personal gifts and pledges that you have raised so far. Include monetary grants from non-governments and government organizations. List all grants applied for, even if the decision is still outstanding.

What is the total amount of personal funds you plan to contribute to the adoption? This amount does not include donations, fundraisers or grants.*
What is your combined annual gross income?*
How much of the adoption has already been paid?*
Additional comments on funding efforts:

Documents
Please attach the following documents:
Most recent tax return*

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Current Home Study*

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Family Photo*

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Please attach a letter of reference from your pastor.*

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Verification letter from agency verifying costs indicated on applications*

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A fee verification is a breakdown of the cost of your adoption on your agency letterhead.
(Please do not send an invoice.)
This is an initial application. We may require more information as we process your application.
Please verify that you are human*
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Faith and Beliefs