Albion-Homer United Way Grant Application 

Organization Address *
Organization Address
Organization Phone *
Organization Phone
Organization Fax
Organization Fax
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Contact Name *
Contact Name
Serves what community *
Select all that apply
Please answer the following questions in the space below (be as specific as you can). 1. What do you want to do? 2. When do you want to do your project? 3. Who do you want to serve? How many people do you intend to serve? 4. How will you measure success? 5. Do you wish to continue the project after the AHUW funds are expended? How will this be accomplished?