Grant Application We accept grant applications year round. Grants for the current year’s One Less Race must be received no later than December 31st of the previous year. Contact InformationName* First Last Email* Phone Number*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant InformationApplicant #1*FatherMotherName* First Middle Initial Last Applicant #1: Date of Birth* MM DD YYYY Applicant #2NoneFatherMotherName* First Middle Initial Last Applicant #2: Date of Birth MM DD YYYY Marital StatusWhat is your marital status?*Please select...MarriedUnmarriedAny prior divorce?*Please select...NoYesPlease list any prior divorces for each applicant*Which ApplicantDate of Divorce ChildrenDo you have any biological children?*Please select...YesNoNames and ages of biological children in your family*Click the "+" button to add more children.NameAge Have you previously adopted?*Please select...YesNoNames and ages of previously adopted children*Click the "+" button to add more children.NameAge Employment InformationApplicant 1 Employer*Length of EmploymentApplicant 2 EmployerLength of Employment Reference for Applicant #1Please provide one non-relative character reference.Name* First Last Phone*Email Relationship*Reference for Applicant #2Name* First Last Phone*Email Relationship* Adoption InformationWhat approach have you chosen for this adoption?*International AdoptionPrivate AdoptionFoster to AdoptWhy have you chosen adoption?*Have you completed your Home Study?*Please select...YesNoI don't knowWhat country are you adopting from?*Have you completed your Dossier?*Please select...YesNoI don't knowDo you have a travel date to pickup your child?*Please select...YesNoWhen is your expected travel date?* MM DD YYYY Do you have specific children / a specific child identified for this adoption?*Please select...YesNoPlease list each child you have identified.Click "+" to add more children.NameAgeGender Do you plan on adopting a child over 6yrs or with special needs?*Please select...YesNoAgency InformationAgency Name*Agency Phone Number*Contact Name* First Last Contact's Email* Sources of Adoption FundsPlease complete to the best of your ability and knowledge.Personal FundsEmployer AssistanceFundraisingOther SourcesLoans / GrantsPlease click the "+" to add more loans or grants.NameAmount Estimated Adoption ExpensesAgency FeesHome Study FeeLegal / Lawyer FeesNotary / Authentication FeesForeign Program FeeIn-Country FeesINS FeesOrphanage DonationTranslation FeesTravel ExpensesVisas / PassportsOther Fees Permission to use story and photosImportant* By completing this application you agree to give Vault Fostering Community and One Less Race permission to use your family's story and any pictures you provide or we take to help raise funding and support for our causes. We will not publish any pictures of children waiting to be adopted in violation of any state or federal laws. You agree to provide us with a picture of your family after your adoption is complete. SignatureApplicant #1 Signature*Please write your full name as you would for a signatureDate Signed: 12/14/2018Applicant #2 Signature*Please write your full name as you would for a signatureDate Signed: 12/14/2018Your IP Address (22.214.171.124) has been logged in association with this application.