2021 CAC Scholarship Form-Application Deadline September 1, 2021
1 Applicant Per Form
The 2021 CAC will take place Friday, November 5th & Saturday, November 6th. For which day are you applying for funding to attend?
Friday, November 5th
Saturday, November 6th
Full Name (First, Last)
What is your experience/interest in adoption and foster care? Check all that apply.
I am an adult adoptee and/or foster care alumna.
I am an adoptive parent.
I am a resource (foster) parent.
I am interested in fostering/adopting in the future.
I am a birth/fist parent/family member of a child placed in adoption or foster care.
I work in the field of adoption/foster care.
I work with individuals touched by adoption/foster care.
What is your race? (Check all that apply.)
It costs $110 per per day attendee to fund CAC programing. We have a limited number of scholarship dollars and ask all applicants to tell us their gross household income (including AAP Funding (for current and former foster youth) and all other non-taxable income to insure the funding goes to low and moderate income families.
What is your gross household income?
How many people, including yourself, live in your household?
How much can you afford to pay to attend 1 day of the CAC 2020?
Please use this section to explain extenuating circumstances that make it difficult for you to pay any of the amounts above.
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This form was created inside of Pact An Adoption Alliance.