Adoption Grant - AMCSI: Supporting the Arthrogryposis Multiplex Congenita Community

About the AMCSI Adoption Grant

The AMCSI Adoption Grant supports families adopting a child diagnosed with Arthrogryposis Multiplex Congenita (AMC). Please review the following eligibility requirements and important details before applying:

A completed home study is required at the time of application.
The child must have a diagnosis of AMC, confirmed through medical documentation or your adoption agency.
The adoption is expected to finalize within 12 months of the application date.
Grant awards range from $500 to $2,500, determined by available funds, demonstrated financial need, and unanimous approval from the AMCSI Adoption Committee during its monthly review.
Funds are distributed once the adoption is finalized.
If you are adopting multiple children with AMC, a separate application must be submitted for each child.
Please ensure that your caseworker’s or agency’s contact details are accurate and include a working phone number, as we will contact them during the review process.

Adoption Grant Submission Form

All (required) (*) documents must be sent to info@amcsupport.org

Your application will not be processed until all required items are received. Please avoid emailing us to ask about your application status — we will contact you if further information is needed.

Funding for this grant is available thanks to our AMCSI Members, Run 4 Jack, Rogers Run, 253 for AMC, Valerie Pepe’s AMC Bowl-A-Ton, Valerie Pepe’s AMC Music Festival and AMCSI’s Awareness Day campaign, Facebook birthday fundraisers & T-shirt sales.

Full names of all parties adopting child

First Name

Middle Name

Last Name

First Name

Middle Name

Last Name

Phone

Address

Address 2

City

State

Zip

Name of caseworker

Phone

Agency/Organization Address: Street

City

State

Zip

Date of completed homestudy

Date of completed adoption

Estimated date of completed adoption

Was your adoption international or domestic?

Name of agency

Is the adoption from foster care?

Yes No

Is the child currently in your care?

Yes No

Arthrogryposis multiplex congenita (AMC) is defined as multiple joint contractures present at birth. A person must have three or more joints affected in two or more areas of the body to receive the diagnosis of AMC. A joint contracture is joint that lacks normal range of motion.

Has your child been diagnosed with arthrogryposis multiplex congenita (AMC)?

Yes No

Who diagnosed your child? (If the doctor is unknown, please put the name of the organization your child is listed with.)

Doctors' Name

Agency/Organization

What type of AMC does your child have? (If unknown, write UNKNOWN.)

Child’s age?

Annual household income?

Estimated total adoption cost?

The following questions are optional:

What made you decide to adopt a child with AMC?

Did you know anything about AMC before starting the adoption process? If so, what?

Do you have any questions about AMC for us?

What would this grant mean to you?

Would you be willing to update AMCSI on your adoption journey?

Would you be willing to provide AMCSI an adoption testimony?

Would you be interested in an adoption feature in our newsletter?

AMCSI Consent to Release Confidential Information

“I/We hereby authorize AMCSI to obtain and release the following information from the adopting party’s caseworker:

1. All materials related to the child(ren) being adopted
2. All personal information
3. All personal financial information, including proof of expenses related to the current adoption(s)

If any of this information is not provided by the caseworker, I/we agree to provide it directly and promptly.”

Your Full Name/Signature of Parent

Date

Your Full Name/Signature of Parent

Date

Please submit your completed application by hitting the SEND button below, and if you have any questions, please email us at – info@amcsupport.org

About the AMCSI Adoption Grant

Adoption Grant Submission Form

All (required) (*) documents must be sent to info@amcsupport.org

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