APPLY FOR A GRANT

Eligibility Checklist

Eligibility depends on the applicant's circumstances, such as underlying causes of infertility, financial situation, other life factors and meeting the below requirements. *Infertility diagnosis as defined by ASRM

Use the following criteria to determine your eligibility:

Applicants: Women diagnosed with infertility.

Infertility Diagnosis: "The need for medical intervention, including, but not limited to, the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as an individual or with a partner."

Relationship Status: Applicants relationship status does not impact the grant selection.

Health: Applicants must demonstrate both physical and mental well-being via the Medical Evaluation Form.

Insurance: Applicants must hold basic medical insurance for mother and baby, including prenatal coverage.

Residence: Applicants must be a US citizen or permanent residents of the United States and must be under the care of an accredited fertility clinic (of their choice) within the United States.

Living Arrangements: All applicants must maintain adequate living arrangements (must lease or own).

Child Support: Applicants must provide continued financial support of the child.

Treatment Timeline: Grant recipients must utilize funds within 12 months of receiving a grant.

Previous Treatment: Hopeful Mama Foundation does not reimburse for previous treatment.

Financial Grants: Applicants MAY NOT apply if they have received financial assistance from other nonprofits/organizations. This DOES NOT include discounts through fertility clinics/pharmacies.

Services Covered: The services covered are at the discretion of the Board of Directors and may include, but not limited to, monitoring, lab work, medication, egg donation, IUI, IVF, and gestational surrogacy.

Hopeful Mama Foundation 2024 grants range in monetary value of $500 - $5,000.

The grant amounts may vary among recipients, and partial and full grants can be awarded. Funds from the grant will be disbursed directly to the recipient’s clinic and/or pharmacy. If you receive a grant, the Hopeful Mama Foundation Board of Directors will determine the value of the grant based on the Foundation's available funds and the applicant's need determined by the grant rubric. While the Hopeful Mama Foundation would love the ability to offer grants to every applicant, not all applicants will receive grants.

Application Submission Checklist

To apply for a Hopeful Mama Foundation grant, applicants must submit the following:

Completed Hopeful Mama Foundation online application

Upload a written history of your fertility journey (1000 word maximum)

Upload a written statement indicating why you chose to apply for a Hopeful Mama Foundation grant (500 word maximum)

Upload Medical Evaluation Form: The Medical Evaluation Form is to be completed by you and your licensed healthcare provider (Form at top of page)

Upload an image of the front and back of your insurance card(s)

Signed media release giving the Hopeful Mama Foundation permission to share your story (included within this application)

All applications must be submitted by the grant deadline (May 10, 2024)

Please Note: Write N/A if the application question does not apply to you.

Important Notice: Preferred Device for Application Process

Please note that applicants are encouraged to utilize a computer rather than a phone for the application process.

Save and Continue Later

You have the option to save your work and return to complete the application at another time. Be sure to fill in your name and email at the start of the application, so you can receive the draft link in your email.

What happens after you submit your application?

Applications are reviewed by the Hopeful Mama Foundation Board of Directors. Approximately 4-6 weeks after the grant deadline, grant recipients will be notified via phone. Those not receiving a grant will receive an email. To ensure applicants’ privacy, application information for those not selected as grant recipients will be destroyed within 30 (thirty) days after grants have been awarded. Hopeful Mama Foundation reserves the right to request additional information from each applicant during the review process.

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Eligibility Checklist

Application Submission Checklist

Important Notice: Preferred Device for Application Process

Save and Continue Later

What happens after you submit your application?