The Gateway Fund: Request for Funds

The Gateway Fund: Request for Funds

USCIS filing fees for Special Immigrant Juvenile Status (SIJS) petitions
mBOLDen Change has launched The Gateway Fund to provide funding to cover the required $250 USCIS filing fee for Special Immigrant Juvenile Status (SIJS) petitions (Form I-360). Nonprofit legal service providers and private law firms / practitioners handling SIJS cases may request upfront block grants to maintain a dedicated reserve for their clients' filing fees.

PRIVACY NOTICE: mBOLDen Change does not collect or request client names, case details, income verification, or confidential legal documents.

FUNDING NOTICE: Submitting a request does not guarantee funding. mBOLDen Change reviews each request individually and retains full discretion regarding approval and grant amounts.
TERMS & AGREEEMENT

The requesting organization or firm ("Partner") agrees to the following terms:

1. Restricted Purpose: Block funds shall be used exclusively to pay non-waivable USCIS filing fees for Special Immigrant Juvenile Status petitions (Form I-360) on behalf of Partner's clients. Funds may not be applied to any other form, fee, or client matter;

2. Accounting & Trust Accounts: Funds shall not be used for administrative overhead, attorney's fees, staff time, or operational expenses. Private law firms receiving upfront funds must hold them in a Client Trust Account (IOLTA/TA trust) as third-party client fee advances, disbursed solely to pay USCIS filing fees as cases are filed. Funds must not be booked as firm income.

3. Partner Attestation: Partner attests that funds will be applied directly to eligible SIJS filers facing the non-waivable fee. mBOLDen Change requires no client PII, income documentation, or case filings.

4. Client Discretion: Partner retains sole discretion over client selection, case prioritization, and representation decisions. mBOLDen Change assumes no legal representation role, supervisory capacity, or liability over client matters.

5. Replenishment: Partner may submit a replenishment request once initial upfront funds are largely deployed. Each request is evaluated independently, subject to fund availability and mBOLDen Change approval.

6. Reporting: Within 60 days of expending the funds, Partner will provide written organizational feedback confirming: (a) number of petitions paid, (b) whether funds arrived in time to meet filing deadlines, and (c) process feedback. No client-identifying data will be requested or accepted.

7. Unused Funds: Any funds remaining unexpended 12 months after receipt must be returned to mBOLDen Change unless a written extension is granted.

8. Non-Binding Status: Request submission and approval create no ongoing obligation or commitment for future funding by mBOLDen Change.

SECTION 1: REQUESTING ENTITY
Legal Name of Organization or Firm
Entity Type

Other
IRS Employer Identification Number (EIN)
Primary Contact: Full Name and Title

NameTitle
Primary Contact: Email Address
example@example.com
Primary Contact: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization / Firm Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECTION 2: FUNDING REQUEST
Amount requested: Up to $2,500
Date Funds Are Needed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearIf a filing deadline or a client's approaching 21st birthday is driving this timing, please note it here.
Preferred Payment Method
Please upload a completed IRS Form W-9

Cancelof
AUTHORITY & SIGNATURE

By signing below, I certify that I am authorized to submit this request on behalf of the entity named above, that the information provided is accurate, and that the entity agrees to the Terms if funded.
Signature
NAME & TITLE OF AUTHORIZED SIGNER

First and Last nameTitle
Should be Empty:

The Gateway Fund: Request for Funds

TERMS & AGREEEMENT

AUTHORITY & SIGNATURE