Before 16 Grant Application
Disclaimer: We desire to assist in the funding for every family the requests a grant. The funds are dependent on creating an account with the hosting organization, filling out an application, and passing a background check. In the event that a grant is awarded, the grant funds will be sent directly to the hosting organization and assigned to your account on the back end of the financial commitment. Before 16 will confirm with the hosting organization the host child selection to ensure there are no irregularities or special concerns. Special concerns include (but are not limited to), the child's availability for adoption, behavioral risks, dynamics that might create dysfunction in the host family, or circumstances that might inhibit a child from making the trip.
* Required
Email address
*
Your email
Primary Contact Name and Age
*
Your answer
Primary Contact Full Address
*
include city, state and zip code
Your answer
Primary Contact Phone Number
*
Your answer
Primary Contact Email Address
*
Your answer
Spouse Name and Age
*
Your answer
Spouse Email Address
*
Your answer
Have you hosted before? If so, please share details of when as well as how the experience(s) went
*
Your answer
Hosting Time Period
*
Summer 2021
Winter 2021
Organization to host from
*
Project 143
Bloom
New Horizons For Children
Guglielmo's Hope
Other:
Country you wish to host from
*
Latvia
Ukraine
Colombia
Haiti
Other:
Are you considering hosting siblings?
Yes
No
Clear selection
What are your intentions towards adoption?
*
Set on Adopting
Strongly Considering
Somewhat Considering
Focused on Advocating for others to adopt
Focused on provided a great hosting experience and not adoption
Other:
Required
Will you create a facebook group for others to follow the hosting experience?
*
If so, we would like to be a part of the group
Already have a group set up
Intend to create one
Don't use social media and are unlikely to create one
Other:
Will you attend Before 16 events in Madison?
*
Events are scheduled 1 to 2 months in advance. They are typically informal and designed to give hosting families the chance to connect.
Yes, we would make it a priority
We live outside the area, and it's unlikely we would be able to attend
No
Other:
Will you fill out a survey after the hosting about the experience?
*
Yes
No
Will you share 5-10 photos of your family and host child from the hosting experience for Before 16 to use in an e-newsletter, facebook post, or our website?
*
We would ask for the photos after the hosting experience. We would following any rules set up by each hosting country. We would not use without your consent.
Yes
No
Please provide information on the host child/children (Name/ID #/Age)
*
Your answer
Will you host if you don't receive a grant?
*
Yes
No
Maybe
Other:
Have you placed your deposit to host the child/children?
*
Yes
No
Tell us about your family
*
size, length of marriage, ages of children, dynamics, interests, vocations, etc
Your answer
Amount Requested
*
Our grants amounts vary, the amount requested may not be the amount approved. Any grant amount would be sent to your account with the hosting organization.
$2,000
$2,000 per child (if hosting siblings)
$1,000 per child (if hosting siblings)
Other:
Is there a grant amount that you feel you need in order to cover the hosting expenses?
*
If you will host without a grant, simply put "no". Question is geared toward families that are uncertain about hosting and may be considering hosting numerous siblings
Your answer
We would like a photo of your family to share with the board during the grant review, and used for no other purpose. Will you share a photo during the review process?
*
A photo can be sent to our director:
Nathanhaag@before16.org
Yes
No
Is there anything else you would like the Board to know before deciding on your grant request?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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