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Partner Agency Application

If you are interested in applying for 2022 funding,
please fill out and submit the information below.

A.  Download the Staff Information/Budget Formcomplete it, and email it to  This can be done separately from the rest of the application to preserve confidentiality.  

B.  Download the Client Information , Agency Program Information and the Outcome Form.  You will need to complete it and then upload it below along with other requested documents.

C.  Due to our web software limitations, the application has to be completed at one sitting.  Thus we recommend that you first look over the documents you'll need (you can press control-P to print the page for reference), gather the required materials for upload, and then sit down to complete the application.  

Your application is not complete until all of the information below is submitted and the "Staff Information/Budget" forms are emailed to United Way. 

Applications are due Thursday, APRIL 15, 2021 

We strongly recommend that you download, save, and print the following four documents for reference while you're completing the application materials:
1.  Agency Program Information

2.  Roadmaps 
3.  Program Outcome Example
4.  Program Outcome Measurement Form Example

As always, feel free to call Sharon Greiner with any problems or questions:
443-7203, extension 2, or if you prefer, email her at