Please complete the application to the best of your ability.  Since our funding is limited, we're focusing our efforts on Montana families with the greatest financial need who complete the process with integrity and demonstrate their ability to provide a loving home consistent with the founding principles and values of LHC.  Basically, we want to see God's Big Sky people go get some kids!  Grants are for residents of Montana who reside in Montana.  In the case of limited resources priority will be given to people residing in Missoula or Ravalli county.

During our review process, we may contact you to elaborate on and verify portions of your application.


Step one is to successfully submit the online portion.  Your submission will be received and reviewed for completeness and accuracy.  The process cannot continue until the online portion is received in its entirety; a thorough initial submission will expedite the process. When you've completed and successfully submitted your application you'll receive notification via e-mail. 

Please move on to step 2 following the completion of this application. 

**A referral is necessary before submitting your application.  If you haven't received one, please wait to apply.**
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Applicant Information

Head of household first name

 
Last name

 
Spouse's first name

 
Spouse's last name

 
Street address

 
City

 
State

 
Zip code

 
Country of residence

 
I am a US citizen


 
Home phone

 
Do you rent or own your living space?


 
Please give a brief description of your charitable giving to non-profits, your church, etc.

 
Explain to us, in general, your approach to finances and budgeting.

 
Number of dependent children


 
Ages of your children (i.e. Emily 11 mo., Randall 3 yrs...)

 
Have you adopted before?


 
Please confirm you are adopting through an official 501c(3) placement agency.  This is not the home study agency unless they are also the placing agency


 
Submission date of application (xx/xx/xxxx)

 
Date the home study was satisfactorily completed (xx/xx/xxxx)

 
What is the estimated total of your adoption expenses?

 
Employment

Please list employment information for the primary source of income.

Name of employer

 
Position

 
Spouse's occupation

 
Work phone

 
Does your employer have adoption benefits?


 
Church Information

Church name

 
Church city

 
Church state

 
Church zip code

 
Church phone

 
Church's web address

 
Sr. Pastor's name

 
Please elaborate on any special circumstances to be considered specific to your situation.  If you need more room you may provide an additional document along with your Supplemental documents.  Indicate here that you will be doing so.

 
Adoption Placement Agency Information

Adoption Placement Agency name (not the home study agency unless they are one in the same)

 
Agency city

 
Agency address

 
Agency state

 
Agency zip code

 
Agency phone number

 
Agency web address

 
Caseworker's name

 
Caseworker's business phone

 
Adoptee Information

We realize you may not have answers to the following questions.  Please leave blank if this is the case.  It will not affect your application.

Adoptee's country of origin

 
How many children are you in the process of adopting?

 
Do you have a referral? ** If your answer is no, please wait to submit the application until you have one.**


 
Names and ages of children being adopted

 
Expected placement date (xx.xx.xxxx)

 
This concludes the online portion/Step 1 of your application. 

Before submitting, please check your answers for accuracy.  All questions must be answered in order for your application to be considered with the exception of the Adoptee information if that's not yet available to you.  You must have answered yes to 'do you have a referral yet' in order to submit. 

If you're satisfied that your answers are accurate and the application is complete, please click I accept to submit.


*

Credits:  Elements of the process and language used here were copied with permission from Show Hope (www.showhope.org)

     
Thank you!  You've successfully submitted your application. 
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