Adoption Scholarship

Adoption Scholarship Application

Please read the Adoption Scholarship Guidelines thoroughly before completing this application.

At the time of application submission, the child must already be born.
Every question must be answered for the application to be complete.
Applications are accepted any time and are reviewed on a first come, first serve basis.

The Down Syndrome Association of West Michigan has established an Adoption Scholarship for DSAWM members who are planning to adopt an individual with Down syndrome. The intent of this money is to help families pay for court fees associated with adopting a child. Payment will be made directly to the adoptive parent(s) at the conclusion of the adoption process. Assistance of up to $1,500 per family may be approved.

To qualify for funding, an applicant must meet the following requirements:

Live in the DSAWM service area
Be a current year voting member

Please complete and submit the form below to apply. If you have questions, contact us at 616-956-3488 or info@dsawm.org.

Applications can also be submitted through the mail to:
DSAWM
Attn: Scholarship Committee
160 68th St. SW, Suite 110
Grand Rapids, MI 49548

Download Application

Adoption Scholarship Application

This field is for validation purposes and should be left unchanged.

Applicant Information

Name of Child with Down Syndrome (if known)

First Last

Child's Date of Birth(Required)

Parent/Guardian's Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

County(Required)

Phone(Required)

Email(Required)

Adoption Agency Information

Adoption Agency's Name(Required)

Agency Contact Person(Required)

First Last

Contact's Phone Number(Required)

Contact's Email(Required)

Financial Aid Request

Amount Requested(Required)

Not to exceed $1,500.

Please enter a number less than or equal to 1500.

Will any other program cover any portion of the costs associated with this request?(Required)

Yes

Please upload the following required documents: (1) proof of fees and (2) one letter of recommendation from an unrelated individual

Drop files here or

Max. file size: 64 MB.

Please explain how this scholarship will benefit the applicant and your family.(Required)

Agreement & Signature

This application was completed by(Required)

First Last

Relationship to Applicant(Required)

Date(Required)

Adoption Scholarship

Adoption Scholarship Application

Adoption Scholarship Application

Applicant Information

Adoption Agency Information

Financial Aid Request

Agreement & Signature

Address

Phone

Hours

Programs & Services

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