ARJC Adoption Grant Application

ARCHIBISHOP ROBERT J. CARLSON ADOPTION GRANT

APPLICATION FOR ASSISTANCE
APPLICATION PROCESS
- Applications are due by November 1st of each year and grants are awarded with notification in late December or early January.
- Applications may be submitted electronically or as printed hardcopy
- Completed application include:
  - Application Form (completed online or submitted in printed form)
    
    Including:
    
    Contact and demographic information
    
    Agency information
    
    Financial information including:
    
    Summary of paid and anticipated expenses
    
    Information on other sources of funding (received or anticipated)
  - Supporting Documents: (attached to application)
    
    Proof of completed home study (receipt, first page, etc.)
    
    Proof of pursuit of adoption through 501(c3) agency
    
    Acceptable evidence includes:
    
    a copy of a currently valid IRS tax exemption certificate;
    
    a statement from a State taxing body, State Attorney General, or other appropriate State Official certifying that the applicant organization has a nonprofit status
    
    a certified copy of the organization's certificate of incorporation or similar document that clearly establishes nonprofit status;
    
    Copies of paid expenses (as referenced in the financial information section)
  - Letter of Request (attached to application)
    
    Approximately 500 words
    
    Written by the applying family giving context to their adoption journey.
    
    Include any information which gives light to the financial or personal complexity of the journey SO the committee may best understand the family's needs.
If submitting a hard copy, send the application and all supporting material to:

Office of Natural Family Planning, Archdiocese of St. Louis
ATTN: ARJC Grant
11700 Studt Ave., Ste C
St. Louis, MO 63141

Questions:
stlnfp@archstl.org
314.997.7576
GRANT POLICY

Eligibility Policy
- Eligible candidates ideally include those who have adopted within the past year of the application deadline and those pursuing adoption.
- Adoptions must be in process through a 501 (c3) agency licensed to place children with provision of a receipt and documentation of status of the agency. Assistance is not available for independent adoptions (this includes adoptions through lawyers, facilitators or humanitarian organizations not licensed to place children).
- An applicant may apply one time for each adopted child.
- Grants will only be awarded for bills incurred. However, anticipated expenses will be considered. The candidate must have a satisfactory home study with documentation provided.
- Grants for reimbursable expenses include but are not limited to home study, post placement visit, citizenship fees, application fees, etc.
Awards Policy
- Awards may be distributed among several applicants.
- The amount and number of grants awarded will be dependent on the number of requests and the amount of revenue in the fund.
- Preference may be given to couples who experience infertility.
- Preference will be given to Christians active in their own faith tradition, with a preference to practicing Catholics.
- Priority for funding will be given to applicants from within the Archdiocese of St. Louis. After funding commensurate with previous years' grants has been awarded, grants of lesser amounts to those applying from outside of the Archdiocese of St. Louis may be considered.
- Recipients will accept their award in person at the Office of Natural Family Planning.

Application Form
CONTACT INFORMATION:
Wife's Full Name*
Wife's Occupation*
Husband's Full Name*
Husband's Occupation*
Street Address*
City*
State*
Zip Code*
Phone*
Email*
example@example.com

DEMOGRAPHIC INFORMATION:
Do you have any biological child(ren)?*
If yes, what are their names and ages?
Has your child(ren) been placed with you?*
If yes, what are their names and ages?
Are you a practicing Roman Catholic?*
Are you a Christian active in your faith?*

AGENCY INFORMATION:
Agency Name*
Street Address*
City*
State*
Zip Code*
Agency Phone*
Is your agency 501(c)(3) approved?*
Has your home study been completed?*

FINANCIAL INFORMATION:
Do you anticipate applying for a tax credit?*
Have you or do you anticipate receiving other financial assitance for adoption?*
If yes, who have you or do you anticipate receiving financial assistance?
What is the total anticipated or received amount of assistance?

In the table below, please list the agency and anticipated vs. paid fees for the items below. If no anticipated or paid fee, please place a $0 in section.*

Rows	Anticipated	Paid
Application Fee
Home Study Fees
Placement Fees
Court Costs and Filing Fees (if applicable)
Legal Fees
Travel Expenses (if applicable)
Birth Mother's Attorney and Medical Costs related to childbirth

Other anticipated and/or paid fees not listed above (if applicable):

Documents Needed
1. Proof of completed home study (receipt, first page, etc.)
2. Proof of pursuit of adoption through 501(c)(3) agency
  - Acceptable evidence includes:
    
    a copy of a currently valid IRS tax exemption certificate;
    
    a statement from a State taxing body, State Attorney General, or other appropriate State Official certifying that the applicant organization has a nonprofit status
    
    a certified copy of the organization's certificate of incorporation or similar document that clearly establishes nonprofit status;
3. Copies of paid expenses
4. Letter of Request (Upload as a PDF OR enter text into the field below.)
Upload files required above:*

Cancelof
Letter of Request - approximately 500 words or upload as a PDF above.

Signature and Submission
I agree that the information provided in this entire application is complete and accurate to the best of my knowledge.
Today's Date*

MonthDayYear
Date
Signature*

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ARCHIBISHOP ROBERT J. CARLSON ADOPTION GRANT

APPLICATION PROCESS

GRANT POLICY

Application Form

CONTACT INFORMATION:

DEMOGRAPHIC INFORMATION:

AGENCY INFORMATION:

FINANCIAL INFORMATION:

Documents Needed

Signature and Submission