Parenthood for me medical grant

Dear Applicant:
Thank you for your interest in the "Parenthood For Me medical grant". To apply for this grant, you must not be a current client of Adoption STAR, you must demonstrate that you are experiencing financial hardship, that you cannot currently have children and that you have an underlying medical condition that makes getting pregnant and/or maintaining a pregnancy challenging.
Best Wishes,
Adoption STAR

Please review the application before completing. All required fields must be complete before submitting.
I. General Contact Information
First Name*
Last Name*
Street Address*
Street Address Line 2
City*
State/Region*
Zip Code*
Cell Phone Number
Phone*
Email*
Gender*
II. Medical Information
Please upload the original letter on letterhead from your doctor explaining your medical diagnosis.
Doctor's note on letterhead*
Max. file size: 256 MB.
III. Personal Statement
Please write (1000 words or less) describing why feel you're a good candidate for the Parenthood For Me Medical Grant.
Personal Statement*
IV. References
Please upload two letters of reference from individuals who are unrelated to you. Please include their contact information including phone number with area code. Adoption STAR reserves the right to contact personal references.
Reference One Upload*
Max. file size: 256 MB.
Reference Two Upload*
Max. file size: 256 MB.
V. Financial Need
In order to qualify for the Medical grant, you must demonstrate that you've been experiencing financial hardship. Please provide copies of your prior 2 year's tax returns
Tax return 1*
Max. file size: 256 MB.
Tax return 2
Max. file size: 256 MB.
By submitting this application you confirm that the information described in this application is complete and accurate to the best of my knowledge, information and belief. I understand that any falsification of this application, whether willingly or accidental, is grounds for disqualification of funding consideration. Factors to be considered by grant review committee: – Those with disrupted procedures- those who lost their money and never finished the procedure due to extenuating circumstances – Extreme financial need – Personal reference letters.

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I. General Contact Information

II. Medical Information

III. Personal Statement

IV. References

V. Financial Need

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