Family Fund Interest-free Loan Application

Step 1 of 8

Adopting Father’s Full Name*

Adopting Mother’s Full Name*

Home Address (Mailing Address)*

Primary Contact:*

Father

Mother

Single Parent:*

Yes

Adopting Father

Phone*

Email*

Untitled*

Date*

Driver’s License No.*

Adopting Father’s Occupation*

Employer*

Employer Address*

Length of Employment*

Monthly Net Salary $*

Previous Employer*

Adopting Mother

Phone*

Email*

Untitled*

Date*

Driver’s License No.*

Adopting Father’s Occupation*

Employer*

Employer Address*

Length of Employment*

Monthly Net Salary $*

Previous Employer*

Years You Have Been Married*

Name and Age of Children*

Child Name

Child Age

Have you adopted before?*

Yes

please provide details*

Consent Form

By signing this form and submitting this application:

Please read closely and respond accordingly

We hereby give consent for Pathways for Little Feet to contact our adoption agency and any other person or institution named in this application and we authorize such persons and institutions to release information to Pathways for Little Feet. It is our understanding that information obtained will be used, in part, to determine our eligibility for a loan. 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.

We understand, if approved for an interest-free loan, that our agreement would be in the form of a covenant with Pathways for Little Feet. This covenant agreement includes the approval of an auto-draft authorization for monthly repayments of the loan, beginning two months after the funds are released to the adoptive parents.

Once the adoption is complete, we give Pathways for Little Feet permission to use our story and/or photographs in their communications and/or marketing material, with the purpose of advocating for adoption and helping more families adopt. We understand that Pathways for Little Feet will protect our family and child's identify by utilizing a false name or letter to represent our story.

If approved for an interest-free loan, we agree to share our adoption story, be interviewed by Pathways for Little Feet, and/or provide pictures and updates with the purpose of advocating for adoption and helping more families adopt.

If approved for an interest-free loan, we agree to share our adoption story, be interviewed by Pathways for Little Feet, and/or provide pictures and updates with the purpose of advocating for adoption and helping more families adopt.*

Yes

*If no, please explain*

Signature of Adopting Father*

Print*

Date*

Signature of Adopting Mother*

Print*

Date*

References & Application Checklist

References:

Name*

Phone*

Email*

Relation*

Name*

Phone*

Email*

Relation*

Name*

Phone*

Email*

Relation*

If you have written references already, please feel free to include those*

Drop files here or

Max. file size: 50 MB.

How did you hear about Pathways for Little Feet?*

Adopting Father

Adopting Mother

Adoption Journey & Faith Statement

We’d like to get to know your faith background and how the Lord has brought you to adoption!

Statement of Faith:

Adoption Financials

Adoption Costs

Source of Funds

Statement of Net Worth

Assets

Liabilities

Cash Flow

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

Expenses & Payments

Consent Form

By signing this form and submitting this application:

References & Application Checklist

References:

Submitting Application & Checklist:

Please submit the following information for both parents as applicable:

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