Application Part A

Agencies should fill this out once and only once. 

Part B should be filled out for each grant request if the organization is making more than one funding request. Part B link: https://www.surveymonkey.com/r/8MK7RZQ

* means an answer is required for this question

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* 1. Contact Information

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* 2. Agency Mission Statement

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* 3. Agency Vision Statement

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* 4. Policy and Procedure - check all that apply

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* 5. Support of United Way - check all that apply

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