Applicant Qualifications

• I certify that all my personal information is correct to the best of my knowledge.

• I am a U.S. citizen.

• Together my spouse and I meet the American Society for Reproductive Medicine’s definition of infertility.

• I understand that in order to maintain my Footsteps for Fertility Foundation Grant, I will be required to provide a physician’s note promptly within 2 weeks from the date in which the grant was awarded. My diagnosing physician will include an official diagnosis of infertility, which will state the minimum treatment necessary for me to conceive.

• I understand that the standard monetary Footsteps for Fertility Foundation grant is $5,000. I also understand that although $5,000 is the standard amount for the Footsteps for Fertility Foundation grant, not all grants will be worth $5,000, and are only offered as funding allows. Donated services from Clinical Partners are also considered to be Footsteps for Fertility Foundation Grants.

• I understand grants are not transferable, redeemable for cash, and must be accepted as awarded. Clinical Partners and participating Society for Assisted Reproductive Technology (SART) Fertility clinics may advise Footsteps for Fertility Foundation of adjusted treatment options and the Foundation reserves the sole right to make substitutions or changes when applicable.

• I understand the Footsteps for Fertility Foundation Grants (both donated cycles and monetary grants) cover clinic procedure costs only and exclude outside costs such as but are not limited to: medication, lab work, anesthesia, donated sperm/egg/embryos, and embryology (depending on the clinic). Transportation of frozen embryos from a previous cycle to a new clinic is not covered.

• I understand that my fertility treatment must begin within 365 days of being awarded. I will not be reimbursed for any treatments previously received, and that I will not be paid the difference or receive credits with my clinic if my treatment costs less than the amount of my grant. If I become pregnant before I use my grant, I must forfeit my grant no later than 26 weeks gestation.

• If applicable, I understand my fertility clinic will bill my insurance company first, before sending an invoice to Footsteps for Fertility Foundation.

• I understand that if I am awarded the Footsteps for Fertility Foundation Grant, all money will be paid directly to my SART recognized Fertility clinic, and I will not be reimbursed for past treatment.

• If my current clinic is not SART recognized, I understand that I must seek treatment from a SART recognized clinic in order to redeem my Footsteps for Fertility Foundation grant. If my current clinic is not a clinical partner of Footsteps for Fertility Foundation, I understand that I must seek treatment from a clinical partner in order to redeem my Footsteps for Fertility Foundation grant.

• I understand that Footsteps for Fertility Foundation is not responsible if my treatment fails, neither are they responsible for previous or subsequent treatments.

• I understand that a grant is not an exact number. Clinical services are donated in-kind and may not have an exact dollar amount attached. Monetary grants have a starting value of $5,000 (typically) but can be decreased if the necessary treatments are less. I understand that grants offered by Footsteps for Fertility Foundation may not be enough for my treatment plan. I apply for this grant knowing that I will likely pay for some of my treatment plan. If I receive a grant and find out after consultation with my clinic that I am unable to pay for the remainder of my treatment, I will forfeit my grant within 6 months to allow another recipient the chance to start their family.

• I understand that my spouse OR I must complete an application and pay the corresponding fee. One or both of us must register for and attend an event in conjunction with the grant application in order to be eligible for a Footsteps for Fertility Grant. After complying with both expectations, my spouse or I must also be present for the presentation of the grants.

• If I receive a grant for a donated service, I understand that I must redeem the service from the donating clinic. If I receive a monetary grant at a Footsteps for Fertility Foundation event, I must redeem my grant at a participating clinical partner of Footsteps for Fertility Foundation.