Albion-Homer United Way Grant Application

Albion-Homer United Way has priority application deadlines of April 1st and September 1st when a majority of grants for the year are distributed. However, AHUW does consider smaller request for below $1,500 at board meetings throughout the year, as funds are available.

Organization Name

Tax ID Number

Mission Statement

Organization Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organization Phone

(###)

###

####

Organization Fax

(###)

###

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Website

http://

Contact Name

First Name

Last Name

Contact Title

Contact Email

Serves what community

Select all that apply

Albion

Homer

Calhoun County

Other:

If other, please specify:

Amount Requesting

Grant Request

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?