Skip to content
  • Contact Us
  • Adoption Loan Payment
  • Give
Menu
  • Contact Us
  • Adoption Loan Payment
  • Give
  • The Need
  • What We Do
  • Get Involved
  • About Us
Menu
  • The Need
  • What We Do
  • Get Involved
  • About Us
  • The Need
  • What We Do
    • Adoption Financial Assistance
    • Post Adoption Support
    • The Andrew Project
  • Get Involved
    • Give
    • Fundraise
    • Events
    • Volunteer
    • Prayer
  • About Us
Menu
  • The Need
  • What We Do
    • Adoption Financial Assistance
    • Post Adoption Support
    • The Andrew Project
  • Get Involved
    • Give
    • Fundraise
    • Events
    • Volunteer
    • Prayer
  • About Us
  • Adoption Financial Assistance
  • Post Adoption Support
  • The Andrew Project
Menu
  • Adoption Financial Assistance
  • Post Adoption Support
  • The Andrew Project
  • Give
  • Fundraise
  • Events
  • Volunteer
  • Prayer
Menu
  • Give
  • Fundraise
  • Events
  • Volunteer
  • Prayer

"*" indicates required fields

Step 1 of 5

20%
Adopting Father’s Full Name*
Adopting Mother’s Full Name*
Home Address (Mailing Address)*
Primary Contact:*

Adopting Father

MM slash DD slash YYYY

Adopting Mother

MM slash DD slash YYYY
Name and Age of Children*
Adopted Child Name
Child Age
Gender
Country/Location
 
Name and Age of Children*
Biological Child Name
Child Age
Gender
 
Type of Adoption:*
Does your church have an adoption ministry?*

Counseling Information

Have you asked about a sliding scale fee for your provider? (This is not usually advertised, but your counselor might offer if asked)*
Does your medical insurance cover any counseling?*

Anticipated Counseling Costs:

Other:*

How will you fund these costs:

Other:*

Statement of Net Worth

Assets

Investments:

Other:*

Liabilities

Any Other Bills/Amounts Owed:*
Bills/Amounts Owed
$
 

Cash Flow

Income (Please note net income is after taxes, 401K, healthcare and other witholdings)

Other Monthly Income:*

Expenses & Payments

Housing:

Other*
Other
$
 

Transportation:

Other*
Other
$
 
Other*
Misc./Other
$
 

Consent Form

By signing this form and submitting this application:

Please read closely and respond accordingly

    1. We hereby give consent for Pathways for Little Feet to contact the provider/counselor named in this application for the purposes of determining adoption-competency. It is our understanding that information obtained will be used, in part, to determine our eligibility for this scholarship. We also understand and agree that Pathways for Little Feet is not obligated to provide financial assistance based on the willingness to accept an application.

    2. If approved for a counseling grant, we understand, accept and agree to use any and all funds received exclusively for legitimate adoption-competent counseling expenses. We agree to provide verification of expenses upon request.

    3. We understand, if approved for a counseling scholarship, that we will be required to answer a survey halfway through the scholarship in order to receive the remainder of the scholarship funds. We also agree to submit answers to a final survey at the completion of the scholarship. These brief surveys will help Pathways for Little Feet to tailor the Family Care program to help with post-placement care for more families.

Reset signature Signature locked. Reset to sign again
Print*
MM slash DD slash YYYY
Reset signature Signature locked. Reset to sign again
Print*
MM slash DD slash YYYY

Adoption-Competent Counseling


Here at Pathways for Little Feet, we are passionate about adoption-competent and trauma informed counseling because we place top priority on the best interest of the child and family. A great place to start looking for a provider would be the Trust-Based Relational Intervention (TBRI)® practitioners list available online at http://bit.ly/tbri-practitioner-list. While we cannot speak for every provider listed, we are confident in this training program from the Karyn Purvis Institute of Child Development at Texas Christian University (TCU). We also encourage you to connect with your church or local adoption support group for referrals to adoption-competent counselors in your area. Below we have compiled a list of questions and considerations to help you identify the right provider for your family*:


  • Have you had extra training that is specific to adoption?

  • Have you had experience with post institutionalized children?

  • How does trauma impact a child’s development?

  • What types of adoption have you worked with? Domestic infant? Intercountry? Foster to adopt? Transracial? Older child? Open adoption?

  • How do you work with adoptive families

  • What specific approaches have you found that work to help children cope with adoption, loss, and/or trauma related issues?

  • What changes in the daily life of our child and family might we see as a result of the counseling?

  • Be specific about the adoption issues that affect your family

  • The psychological impact of adoption on children and families

  • Loss as a core issue in adoption and how children process loss at different stages of development

  • The impact of trauma on children and families (results from traumatic experiences prior to the adoption)

  • The role and impact of attachment on the mind and body of the developing child

*Child Welfare Information Gateway; TBRI®; Creating a Family

SUBSCRIBE TO OUR NEWSLETTER

  • Contact
  • Careers
  • Financials
  • Privacy Policy
Menu
  • Contact
  • Careers
  • Financials
  • Privacy Policy

VISIT

9 Greenway Plaza, Suite 3150
Houston TX 77046
281-720-7000

CHECKS P.O. BOX

PATHWAYS FOR LITTLE FEET
P.O. BOX 4356
DEPT 1547
Houston, TX 77210-4356

  • Facebook
  • Instagram
  • Twitter
Menu
  • Facebook
  • Instagram
  • Twitter

ACCREDITATIONS

Copyright

Copyright Pathways for Little Feet 2022
Pathways for Little Feet is a Christ-centered 501(c)(3) organization.