Pre-Application Please fill out the Pre-Application form below. Once you’ve completed the form, someone from our office will contact you. Child's Name:* Child's Date of Birth:* MM slash DD slash YYYY Child's Special Need:* Country/Region:* Race:* Sex:* How long have you been home?* What is your child's date of adoption?* MM slash DD slash YYYY Placing Agency:* Home Study Agency?* Father's Name:* First Last Father's Date of Birth:* MM slash DD slash YYYY Father's Primary Phone Number:*Father's Email: Father's Employer:* Mother's Name:* First Last Mother's Date of Birth:* MM slash DD slash YYYY Mother's Primary Phone Number:*Mother's Email: Mother's Employer:* Other Children in the Family:NameDOBBiological or AdoptedBirth Country Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code County:* School: Training you have received:Is there anything else that you would like us to know?How much money do you need to raise? How much money have you raised? Have you applied for any other grants? Do you agree with Jeeah's Hope's Statement of Faith?* Yes Statement of FaithWe believe the Bible is the word of God, is inspired by the Holy Spirit, and is infallible and authoritative in all matters of faith and practice. We believe there is one God, who exists eternally in three persons: the Father, the Son, and the Holy Spirit. We believe that Jesus Christ is the eternal Son of God, who atoned for the sins of all who will trust in Him, alone, for salvation. We believe that the Holy Spirit indwells God’s people and gives them the strength and wisdom to trust Christ and follow Him. We believe that Jesus will return, bodily and visibly, to judge all mankind and to receive His people to Himself.Father's E-Signature* Please type your full name.Mother's E-Signature* Please type your full name.