MATCHING GRANT POLICIES:
TheAsianBridge Matching Grant program awards matching grants to families who are raising funds to finance an adoption from Asian countries including China, Korea, Taiwan, Vietnam and Cambodia. For every dollar raised at a designated adoption fund-raiser, theAsianBridge will match that amount, up to $1,000.00.
Families must actively participate in their own fund-raising, and are encouraged to involve family, friends and their community. Family fundraising events and/or a link to your family web site or blog can be posted on theAsianBridge web site by sending the information to ackermann95@att.net.
Grants are awarded on a case-by-case basis, based on their income and the circumstances of the family. Preference will be given to those applicants who are experiencing extraordinary hardship, whether it be on the part of the parents or the adoptive child. Families should demonstrate that they are continuing to make every effort to obtain funds from other sources.
Grants are awarded to qualified United States citizens regardless of marital status, race, creed or national origin.
Grant funds will be paid directly to qualified agencies providing adoption related services, but never directly to the family alone. Expenses include adoption agency fees (must have a 501(c)3 status), legal fees, home study fees, dossier preparation fees and travel expenses, etc.
Information provided on this application is transmitted in a secure fashion and held confidential. TheAsianBridge respects the privacy of individuals applying for a grant. The information you provide to us is used for no other purpose than the consideration of this grant application.
All applicants will be contacted to verify receipt of their application, and will receive a request for an update when the applications are about to be reviewed by theAsianBridge Selection Committee. All applicants will receive a phone call with the Selection Committee¹s final results.
If chosen to receive a grant, the family will be asked to send letters to 10 friends or family members, sharing with them the mission of theAsianBridge, and asking for their support. Grant recipients will also be asked to send a family picture and a short story about their adoption adventure. Pictures and stories will be posted on the ³Success Stories² portion of theAsianBridge web site.
The first step in applying for a grant is to complete a Matching Grant Application. Applications must be completed and MAILED to:
theAsianBridge
802 Howard Street, Wheaton, IL 60187
theAsianBridge
MATCHING GRANT APPLICATION
Family Name:
Address:
Home Phone:
Work Phone 1: Work Phone 2:
Cell Phone 1: Cell Phone 2:
E-mail Address:
Which is the best way to reach you?
Husband Name: Wife Name:
Birth date Birth date
Children: Name Birth date Adopted or Biological? Adoptive Country
Child 1 Name ______________________ ____________ _________
Child 2 Name ______________________ ____________ _________
Child 3 Name ______________________ ____________ _________
Child 4 Name ______________________ ____________ _________
Child 5 Name ______________________ ____________ _________
Child 6 Name _______________________ ____________ _________
ADOPTION INFORMATION
Name, address & phone of adoption agency coordinating adoption: ____________________________________________________________
Name, address & phone of home study agency (if different than adoption agency)______________________________________________________
What country do you plan to adopt from?___________________________
Where are you in the adoption process? Please answer YES or NO.
Just started investigating? ________
Accepted by an authorized adoption agency? _________
Home study started?____________ Home study completed?__________
Currently compiling dossier?_____________
If yes, what is the approximate finish date? ______________
Dossier completed & sent to agency?___________
If yes, what is the date they received the dossier? ?___________
Dossier in birth country and waiting for
referral?____________
If yes, what is the date your dossier was sent to birth country, or what is the
log-in date?____________________
Received referral, waiting for travel? _____
What is your approximate travel date?______
FINANCIAL INFORMATION
Estimated cost of Adoption:
Estimated dollar amount still needed to complete adoption:
Have you attempted to find other ways to finance your adoption? (e.g. employer adoption assistance programs, tax credits, savings accounts, family or friends) ____ If so, please give details:
Please explain your financial situation, special considerations and the need for an adoption grant: (You may use a separate piece of paper.)
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________
What was your combined household gross income for 2006?_______________________
What was your combined household gross income for 2007?_______________________
FUNDRAISING INFORMATION
Have you started planning an adoption fund-raising event? If so, please explain. Give type of event with dates, times, location, etc. if that information is available. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Have you completed an adoption fund-raising event? If so, please answer the following:
Name of event:
Date of event:
Location of event:
Type of event: (e.g. silent auction, garage sale, chipin, 5K Run, etc.)
Dollar amount that was raised:
How did you hear about theAsianBridge?
Release, Waiver, and Authorization
In consideration for theAsianBridge¹s service and assistance, the undersigned releases and holds theAsianBridge harmless from any and all liability whatsoever and of any type or nature including, but not limited to, future claims for libel and slander and agrees that no legal action may be brought and no cause of action can be asserted by or in the right of the applicant or their heirs, executors, or assigns or personal or legal representatives and does hereby waive any and all such right or rights to any and all possible causes of action. The undersigned also acknowledges that theAsianBridge has made no representation or warranty that financial aid or assistance will be furnished to the undersigned and that theAsianBridge shall have the sole and absolute discretion with which to either grant or deny financial assistance. The undersigned also authorizes theAsianBridge and grants it the legal right to use their story, to photograph and to publish the same on theAsianBridge¹s website, blog, and any other electronic medium as well as to display and exhibit such story and photographs in any printed material.
_______________________________________ ____________________________________
Applicant¹s Signature Co-applicant¹s Signature
Date ___________________________________