Partner Organization Funding Application

2011 Community Investment Grant Funding Application

- Please complete the following form and return it to the United Way office by December 12

- Also include:

- Signed copy of Letter of Assurance

- Copy of financial statement / Form 990 (if available)

- Copy of 501(c)3 letter from IRS

- State Attorney General proof of solicitation registration

- Publicity piece or brochure

- Anti-terrorism Compliance Measures Certification-signed copy

- Please note that completion of this form does not guarantee funding

If you have any questions or need assistance completing this form, please contact United Way at 507-354-6512