| Name: |
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| Address: |
|
| City: |
|
| State: |
|
| ZIP Code: |
|
| Phone: |
|
| Email: |
|
| Who is referring the person: |
|
| Age of Couple: |
|
| Race of couple |
|
| Race of child wishing to adopt |
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| Homestudy approval date |
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| Agency who completed homestudy |
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| Estimated cost of adoption |
|
| How much have you raised? |
|
| How much are you requesting from Helping
Kids Cope? |
|
| Have you requested from your agency to send
the completed homestudy with references, criminal
background checks and financial stability? |
Yes
No |
Where are you in the adoption process (i.e.
waiting for a referral, registered in foreign
government, in profile books, chosen and waiting on
child to be born, etc)?
|
|
| Where are you adopting from (international,
state, country or domestic)? |
|
| Have you adopted before? |
Yes
No |
| |
|
| How are you going to share with
the community about Helping Kids Cope to help spread the
word and generate donations to HKC to help
others? |
|
| A letter for request must be
submitted with application including why should the award
be given to you, how would it benefit you and how are you
going to impact your own community upon receiving the
award to show positive reinforcement in communities. The
letters submitted are property of HKC and might be used in
later publications. Please send supporting documents
(homestudy, references, criminal clearance, and
photographs if possible to ,
) |
|
|
| Disclaimer---Other documents will be
needed to complete the request. You will receive an
automated response that the request was received and
upon review you will receive either a request for more
information or a request to apply again at a later date.
Please understand that Helping Kids Cope wants to give
to all requests but that is not possible. Therefore, the
child that demonstrates the biggest need at the time of
the request will be considered first. The Board of
Directors reviews the request and we ask the same
questions for each request to determine the level of
need. These questions are not public knowledge due to
application being skewed. |
