Family Support Grant Application Form

  • Grand Application

    Information

  • Family Support Grant Application

    Home for Every Child exists to support more children growing up in loving families by helping families overcome the barriers that prevent them from opening their homes and assisting them in accessing the services that they need to care for their children well over the long term. Our Family Support Grant program helps adoptive, foster, and kinship families access:

    • Assessments (for adopted/foster/kinship children)
    • Respite (in-home or out of home support)
    • Counseling (for parents, adopted/foster/kinship children, and/or siblings)
      • This may include trauma care such as EMDR therapy, neurofeedback or  other related interventions
    • Attachment/Trauma- focused parent training events

     APPLICATION CRITERIA

    The level of assistance that we offer is based on the following guidelines:

    1. The needs of the child
    2. The financial need of the family
    3. The urgency of the need
    4. Our availability of funds

    Families who will be considered and reviewed:

    1. Must be requesting support services for an adopted, foster, or kinship child or  (parent/sibling) family member of one of these children.
    2. Must be Canadian citizens.
    3. Must complete the entire application. Home for Every Child will NOT review incomplete applications.

    All applications are reviewed and decisions are made by Home for Every Child through our objective evaluation and independent decision-making process.

  • Saving your Form progress

  • You have the option to save this form.

    Click on the "Save" button below, create an account (use your email address or existing google/facebook account).

    After saving the form, you will receive an email with a link. Use that link in the future, to continiue your submission.

  • FAMILY INFORMATION

  • Are you an ABBA Canada family?*
  • Are you a single parent family?*
  • Who is the primary contact for this application?*

  • Husband's Information

  • Format: (000) 000-0000.
  • Husband's Date of Birth:
     - -
  • Married since
     / /
  • Any prior divorces?
  • Divorce Date
     / /

  • Wife's Information

  • Format: (000) 000-0000.
  • Wife's Date of Birth:
     - -
  • Any prior divorces?
  • Divorce Date
     / /

  • Dependents Information

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  • Family History and Information

    Help us to better understand your situation and the nature of your need. Tell us, briefly and succinctly, about the:

  • REQUEST DETAILS

    Please ensure that you attach a quote from the service provider that is dated within the last 6 months
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  • Is this request a result of a professional referral?
  • Have you inquired about a sliding scale/reduced fees with the provider?

  • Tell us about the background of this support request
    (What is going on and what are you needing)

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  • Are you a member of a local church/faith community?
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  • Net Worth

    Financial Review

  • The intention of this section is not to be overly arduous or intrusive, but to provide an opportunity for you to review your financial situation, and perhaps to discover financial resources or unnecessary expendatures that were therwise unkonwn. Some families have never taken the time to review their finances in detail and we have found this to be a worthwhile exercise. 

    This financial review also helps us to get an additional perspective on your family's situation and need.

  • Assets

    Overview of Assets held
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  • Liabilities

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  • Cash Flow

  • Monthly Income

  • Note: If your income or expense does not occure on a monthly basis, please average it out and enter the monthly average.

    For example: You receive the Carbon Rebate Check from the Federal Goverment every 3 month. Lets assume you get $300 every 3 month.
    You would calculate: $300 x 4 = $1200 / 12 = $100 per month in average.

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  • Monthly Expenses

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  • Consent

  • The undersigned agrees that this application is being made for the purpose of obtaining assistance for their child/family impacted by adoption, foster care or kinship care. The undersigned further acknowledges that the willingness to accept an application is not any type of acknowledgement or representation on behalf of Home for Every Child that assistance will be granted or given.
  • The undersigned hereby authorizes any officer, employee, agent, representative or staff member of Home for Every Child to obtain financial and personal information from any institution or individuals, including but not limited to those individuals and institutions listed as references and made a part of this application (e.g. service providers, church contacts). The undersigned further consents to the release of any information to any authorized Home for Every Child employee or agent from any individual or financial institution listed as a reference. The undersigned further authorizes any pastor, elder, minister or counselor included as a reference to release to Home for Every Child or its representatives, personal information and opinions regarding the applicant's level of need, truthfulness, and eligibility for support.
  • The undersigned acknowledges that Home for Every Child has made no representation or warranty that financial aid or assistance will be furnished to the undersigned, and further acknowledges that Home for Every Child shall have the sole discretion to accept or deny this application with or without cause. The undersigned further releases and holds Home for Every Child harmless from any liability of any type or nature as a result of allowing the undersigned to submit this application.
  • The undersigned parties acknowledge they are freely agreeing to the following terms and conditions as a requirement to participate in the family support grant process for Home for Every Child: 1) We/I understand and accept that the final decisions regarding acceptance and eligibility of applicants and distribution of funds/grants are made at the sole discretion of Home for Every Child. 2) We/I understand, accept and agree to use any and all funds received by Home for Every Child exclusively for legitimate support expenses as specified in this application. We/I agree to provide verification of expenses to Home for Every Child upon request. 3) We/I understand that we may not donate money towards Home for Every Child to be designated towards our own expenses and receive a tax deduction. 4) We/I agree to submit proper documentation as requested by Home for Every Child for payment and/or reimbursement of any kind.
  • We are/I am providing this information to Home for Every Child for their internal and confidential use. All information contained in this application is accurate to the best of our knowledge.
  • Date Signed
     - -
  • Should be Empty: