THE LAGOS FERTILITY GRANT
WINDOW OPENS FEB 1, 2022!

Aneden Gives Foundation in Nigeria has developed an application and patient selection process to provide fertility grants for families in Lagos. 

Aneden Gives will select up to ten families to receive treatment at specific pre-selected clinics in Lagos. Aneden Gives will only disburse grant funds to the fertility clinic.

Grant Eligibility Criteria

Applicants for the ANEDEN Gives Lagos fertility grants must meet ALL of the following criteria:

  1. Must reside in Nigeria.
  2. Must be able to receive fertility treatments in Lagos, Nigeria.
  3. Submit the grant application below. Only one application per family will be accepted.

*Grant funds must be used within the first 12 months of award. All funds are disbursed to the selected clinics.

*Applicants must be at least 21 years old

Application Process

The 2022 Lagos Grant Application

  • Grant Application Window: February 1 – February 28, 2022
  • Application Review Period: March 1 – March 31, 2022
  • Pre-Selection and Applicant Notification Period: April 1 – April 30, 2022

The online application also includes the following requirements:

  1. Date of birth confirmed with identification e.g. National ID, passport, driver’s license.
  2. Address confirmed with utility bill.
  3. Consent to allow ANEDEN Gives to contact the applicant(s) in the future

Pre-selected applicants must:

  1. Sign an online Medical Release Form.
  2. Attend a virtual pre-selection interview.

Apply BELOW

Please complete and submit the  application form below.

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Lagos Grant Application Window Will Open February 1, 2022!

LAGOS FERTILITY GRANT APPLICATION

Lagos Grant Application

APPLICANT#1's Information

Enter N/A if you don't have a middle name
Confirm email
Your cell phone number
APPLICANT#1 - Address *
APPLICANT#1 - Address
City
State
Postal Code
Country
Do You Have a Spouse Whose Consent Will Be Required for the Fertility Treatments and Providing Medical Information and Use of Personal Information and Images? *

Your Spouse's Information - APPLICANT#2

Enter N/A if you don't have a middle name
Email must be different from that of the main applicant
Confirm email

Tell Us About Your Fertility Journey

Please include timing and frequency of previous events - pregnancy, miscarriage, and other medically significant topics
Have You Received Fertility Treatments In the Past?

Previous Pregnancies

Have You Even Been Pregnant?
Please tell us the outcome of your previous pregnancies by providing the number of each of the following outcomes - Ectopic Pregnancy, Miscarriage, Live Birth, Still Birth.

Documentation - For ALL Applicants. You must provide ID for both applicants if applicable.

Identification must confirm the name(s) in the application and date(s) of birth provided above. The utility bill(s) must confirm the address(es) above.
Maximum upload size: 20MB
Maximum upload size: 20MB

Consent

THE LAGOS FERTILITY GRANT TERMS AND CONDITIONS

The following contains a list of standard terms and conditions frequently included in our grant application procedure. This is not an exhaustive list and is subject to change from time to time at our sole discretion. This list is provided for information purposes only and does not imply an award.

By completing and signing this Lagos Fertility Grant Application form (“Application Form’’} you hereby agree to the following terms and conditions (the “Terms and Conditions”)

I/We, understand that completing and submitting this application does not guarantee that we will receive an Aneden Gives Foundation grant.

I/We also understand that we are submitting personal health and/or financial information to be reviewed by Aneden Gives and Aneden Gives Foundation in making a determination as to our qualification for a grant. The personal health and/or financial information will be treated as CONFIDENTIAL by Aneden Gives and Aneden Gives Foundation . The information will be used for review purposes only.

I/We understand that our Personal Story shared with Aneden Gives and Aneden Gives Foundation may be posted in full or in part on the Aneden Gives website, social media platforms, and in other marketing and educational materials at the discretion of Aneden Gives and Aneden Gives Foundation for the purpose of creating fertility awareness and soliciting support for the foundation.

I/We understand that I/we will be required to provide photographs and that these photographs also may be used in full or part on the ANEDEN Gives website, social media platforms, and in other marketing and educational materials at the discretion of Aneden Gives and Aneden Gives Foundation for the purpose awareness and soliciting support for the foundation.

I/We understand Aneden Gives and Aneden Gives Foundation may contact me/us after treatment to follow up regarding the outcome of my/our treatment(s).

I/We understand that if I/we are awarded an Aneden Gives Foundation grant I/we will not receive any money directly, this money will be paid by Aneden Gives Foundation directly to the health provider or other related parties on my/our behalf.

I/We further understand that grant monies must be used within 12 months from the date of the award for the purposes for which it was awarded.

I/We understand that I/we will not receive any unused portions of the Aneden Gives Foundation grant at any time.

I/We also understand that any unused monies shall be held in the custody of Aneden Gives Foundation until the expiration of the grant.