Dunlap Adoption Assistance Fund Grant Application

DUNLAP ADOPTION ASSISTANCE FUND GRANT APPLICATION

INTRODUCTION

The Board of the Dunlap Adoption Assistance Fund is excited about your desire to adopt!

Funds may be awarded in good faith in advance of a home study with the understanding that ARPC pastors and their families often need these funds up-front to begin the process.

Families must have concrete estimates on their initial adoption costs and fees prior to their commitment. Initial costs for a home study are approximately $3000 and at least $5000 for International adoptions.

Complete the DAAF Grant Application Agreement to indicate your agreement to the terms, conditions, and requirements of your grant application. Please return your Grant Application Agreement and Worksheets to us via email or FAX: Dunlap Adoption Assistance Fund % 918 So. Pleasantburg Drive Greenville, SC 29607 Office: 864- 232-8297 FAX: 864-271-3729 email: [email protected]

HOW TO GET STARTED:

You are applying for a grant from the Dunlap Adoption Assistance Fund. The grant may be used for adoption expenses, including but not limited to, a home study for an agency adoption and/or legal costs of a private adoption. You may apply for the funds as a grant or as a reimbursement for actual expenses up to the grant limits of $3,000 for domestic and $5000 for international adoptions.

Please provide the following: (Date R’cd by Dunlap) DAAF Adoptive Family Application Personal Family Profile Adoption Cost Estimate Worksheet Home Study Social Worker Letter1

(If your Homestudy is not approved, or something changes in your family and prevents you from being able to continue, any residual funds are to be returned to the Dunlap Fund).

1 Each state varies regarding who may perform an independent adoption home study. ... Unlike agency adoptions, where a home study is required both before and after the placement of the child, some states only require a home study after the child's placement into the adoptive parents' home in an independent adoption. www.adoption101.com/independent_adoption.html]

of 4 Section 1 – Application Information

Complete the Following:

MOTHER ______FATHER______

Date of Application: ______

Applicant Address: ______

Applicant Phone Numbers: (M)______(F)______Applicants Date of Birth: (M)______(F)______Applicant Email: (M)______(F)______

Child(ren) for whom Dunlap Grant will be applied:

NAME______DATE of BIRTH______

SPECIAL NEEDS CONSIDERATIONS, (IF ANY)______

GENDER______

ADDITIONAL CHILD’S NAME ______DATE OF BIRTH ______

Home Study Agency or Equivalent:

NAME OF AGENCY ______CONTACT NAME______

CONTACT EMAIL______CONTACT PHONE______

STREET ADDRESS CITY, STATE, ZIP______

If international, HAGUE APPROVED (YES OR NO)

Adoption/Placing Agency/Independent Facilitator:

NAME OF AGENCY ______, CONTACT______, EMAIL______, PHONE______, STREET ADDRESS ______, CITY, STATE, ZIP ______.

of 4 Please circle one:

(1) Does the Applicant meet the parental age requirements established by the state/country of Applicant’s choice? Yes No (2) Is the Applicant financially capable of meeting all the preliminary financial requirements of Applicant’s adoption and this Agreement? Yes No (3) Is the Applicant able to travel as required for Applicant’s adoption? Yes No (4) Has the Applicant ever had an adoption home study revoked/rejected? Yes No (5) Have any previous Applicant adoptions been disrupted or rejected? Yes No (6) Has any member of Applicant’s family ever been rehomed? Yes No

If you answered yes to (5) or (6), please detail:

Section 2 – Grant Funds

(a) Applicant may use funds for any adoption related expense like home study, legal, or travel.

(b) Applicant acknowledges that The Dunlap Foundation Board retains full discretion to approve the Grant application.

(c) Applicant hereby releases the Dunlap Foundation and Board from any responsibility to approve the Grant application and any consequence or damage that Applicant might incur if the Grant is not approved, including but not limited to, financial or emotional distress or any impact of any nature on Applicant’s adoption. In no event shall the Dunlap Foundation be liable to Applicant for consequential, incidental, punitive, special, exemplary, or indirect damages or expenses, even if Applicant was advised of the possibility of the occurrence of such damages.

(d) Applicant acknowledges that the Grant shall not be deemed to have been approved until Applicant receives an official DAAF Approval Letter by email.

(e) If approved for an international Grant, Applicant agrees that the Foundation will disburse the Grant only after Applicant’s dossier has been submitted and Applicant has been invited by foreign officials to travel. All other adoption costs prior to approval, such as initial agency fees, dossier translation and submission and USCIS, remain the sole responsibility of Applicant and Applicant agrees to timely pay such costs, prior to commitment, to avoid delay of the adoption.

Section 3 – Donations/Family Sponsorship Program

(a) If the ARP Foundation receives funds designated for your adoption account which are not used, the balance of funds are subject to the Foundation’s rules and standards and are not refundable to the

of 4 donor, but may be transferred to other adoption accounts, or be reallocated to another adoptive parent account.

(Section 3 – Continued)

(b) Applicant acknowledges that neither the Dunlap Foundation nor the ARP Foundation holds no responsibility to raise funds on behalf of Applicant, or Applicant’s adoptions. Applicant acknowledges that any fundraising on behalf of Applicant shall be the sole responsibility of Applicant.

(c) In the event of a successful adoption by Applicant, Applicant hereby grants permission to The Dunlap Foundation to appropriately use any photos of the family and children from your own public blog, Facebook posts, etc. as updates to your profile page on our website.

Section 4 – Confidentiality

(a) All communication and correspondence between Applicant and the Dunlap Foundation, the contents of this Agreement and the Grant application shall not be disclosed to the public or any representative of the Applicant.

(b) Applicant agrees and promises, on behalf of themselves and their representatives, not to engage, now or in the future, in any disparaging conduct directed at the Dunlap Foundation or its officers, directors, or volunteers.

Acceptance of Agreement Terms and Signatures;

By signing this Agreement below, we hereby verify the contents as accurate and submit this Agreement and Grant application upon these terms and conditions.

This ____ day of ______, 20____.

Applicant Signatures: MOTHER______FATHER ______