One Less Grant Application

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 Information
Name*
First Last
Email*
Phone Number*
Address*
Street Address City State ZIP Code

Applicant Information
Applicant #1*
Name*
First Middle Initial Last
Applicant #1: Date of Birth*
MM
DD
YYYY
Applicant #2
Name*
First Middle Initial Last
Applicant #2: Date of Birth
MM
DD
YYYY
Marital Status
What is your marital status?*
Any prior divorce?*
Please list any prior divorces for each applicant*
Which Applicant Date of Divorce
Children
Do you have any biological children?*
Names and ages of biological children in your family*
Click the "+" button to add more children.
Name Age
Have you previously adopted?*
Names and ages of previously adopted children*
Click the "+" button to add more children.
Name Age

Employment Information
Applicant 1 Employer*
Length of Employment
Applicant 2 Employer
Length of Employment

Reference for Applicant #1
Please provide one non-relative character reference.
Name*
First Last
Phone*
Email
Relationship*
Reference for Applicant #2
Name*
First Last
Phone*
Email
Relationship*

Adoption Information
What approach have you chosen for this adoption?*
Why have you chosen adoption?*
Have you completed your Home Study?*
What country are you adopting from?*
Have you completed your Dossier?*
Do you have a travel date to pickup your child?*
When is your expected travel date?*
MM
DD
YYYY
Do you have specific children / a specific child identified for this adoption?*
Please list each child you have identified.
Click "+" to add more children.
Name Age Gender
Do you plan on adopting a child over 6yrs or with special needs?*
Agency Information
Agency Name*
Agency Phone Number*
Contact Name*
First Last
Contact's Email*

Sources of Adoption Funds
Please complete to the best of your ability and knowledge.
Personal Funds
Employer Assistance
Fundraising
Other Sources
Loans / Grants
Please click the "+" to add more loans or grants.
Name Amount
Estimated Adoption Expenses
Agency Fees
Home Study Fee
Legal / Lawyer Fees
Notary / Authentication Fees
Foreign Program Fee
In-Country Fees
INS Fees
Orphanage Donation
Translation Fees
Travel Expenses
Visas / Passports
Other Fees

Permission to use story and photos
Important*
- 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.
Signature
Applicant #1 Signature*
Please write your full name as you would for a signature
Date Signed: 12/14/2018
Applicant #2 Signature*
Please write your full name as you would for a signature
Date Signed: 12/14/2018
Your IP Address (35.175.190.77) has been logged in association with this application.

One Less Grant Application

Grant Application

Contact Information

Applicant Information

Marital Status

Children

Employment Information

Reference for Applicant #1

Reference for Applicant #2

Adoption Information

Agency Information

Sources of Adoption Funds

Estimated Adoption Expenses

Permission to use story and photos

Signature

Race Day

Packet Pickup

Register

Which Applicant	Date of Divorce

Name	Age

Name	Age

Name	Age	Gender