A CHILD WAITS FOUNDATION ~ LOAN PROGRAM
1136 Barker Rd, Unit 12 ~ Pittsfield, MA  01201
Phone: 866-999-2445  Fax: 518-794-6243  Email: cnelson@childwaits.org
Web: www.achildwaits.org
Loan Application Documents Checklist
Family Name: ____________________________       Date: __________________
All documents listed below must be included for application to be processed.  If an application is not complete, it will not be processed until all documents have been received.
The Following A Child Waits Forms:	√
Application
Financial Statement
Monthly Budget Form
Adoption Expense Form
Applicant Consent Form
Notorized Promissory Note with Co-Signer's Signature
Notorized Terms and Conditions
Co-Signer Consent Form
Copies of the Following Supporting Documents:
Home Study
Cover Letter, please include: motivation to adopt, financial barriers, efforts the family has made (i.e., fundraising, working overtime or 2nd job, etc.) and what other funding that has been received.
2 Most Recent Year's 1040 with Attachments
Copy of Drivers License for all Applicants
Copy of Most Recent Paystubs for all Applicants
Copy of Most Recent 1040 for Co-signer
Miscellaneous
$20 Application Fee
Picture of Current Family
Picture and Medical of Child if Referral has been Received