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Header Mini Menu
Donate
Volunteer
Main menu
About Us
Our Core: Mission, Vision and More
Our Team
Office Hours
Accountability
Board of Directors
Contact Us
Anonymous Tip Line for Fraud
Careers
Annual Report
Our Impact
Small Acts Grant
Health Initiative
Education Initiative
Born Learning Trails
Financial Stability Initiative
MyFreeTaxes
Basic Needs Initiative
SingleCare
Digital Access and Engagement Initiative
Sign Up for an Affordable Laptop!
Wisconsin Internet Self-Report Survey (WISER)
ALICE
Impact Stories
$3 Million Three-Year Community Investment
Get Involved
Give
What Your Dollars Can Do: Impact Calculator
Become a Sponsor
Emerging Leaders
Emerging Events
Impact Tour
Leadership Circle
Volunteer
News
Campaign Materials Request Form
Workplace Campaigns
When You Give
Media Library
Campaign Materials
Request Campaign Materials
ePledge Set-Up Request Form
Kickoff Speaker Request Form
Our Partners
Our Program Partners
Annual Progress Report (APR)
Budget Revisions
Funding Information
Policy & Procedure
United Way Logo Usage and Branding Guidelines
Events
Live Music Fundraiser
Day of Caring
Sweepstakes
Gratitude Gala 2025
Golf Tournament
Stamp Out Hunger
Main Menu
About Us
Our Core: Mission, Vision and More
Our Team
Office Hours
Accountability
Board of Directors
Contact Us
Anonymous Tip Line for Fraud
Careers
Annual Report
Our Impact
Small Acts Grant
Health Initiative
Education Initiative
Born Learning Trails
Financial Stability Initiative
MyFreeTaxes
Basic Needs Initiative
SingleCare
Digital Access and Engagement Initiative
Sign Up for an Affordable Laptop!
Wisconsin Internet Self-Report Survey (WISER)
ALICE
Impact Stories
$3 Million Three-Year Community Investment
Get Involved
Give
What Your Dollars Can Do: Impact Calculator
Become a Sponsor
Emerging Leaders
Emerging Events
Impact Tour
Leadership Circle
Volunteer
News
Campaign Materials Request Form
Workplace Campaigns
When You Give
Media Library
Campaign Materials
Request Campaign Materials
ePledge Set-Up Request Form
Kickoff Speaker Request Form
Our Partners
Our Program Partners
Annual Progress Report (APR)
Budget Revisions
Funding Information
Policy & Procedure
United Way Logo Usage and Branding Guidelines
Events
Live Music Fundraiser
Day of Caring
Sweepstakes
Gratitude Gala 2025
Golf Tournament
Stamp Out Hunger
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Grant Application 2025-2028 - Part 2
Current
Information
Target Population
Funding
Goals and More
Signature
Complete
Agency
Program
Listing the following email addresses will allow for copies of the submission of this form to be emailed to you once submitted.
Chief Executive Officer's Email
Is the Local Contact Person's email the same as Chief Executive Officer's email?
Yes
No
Local Contact Person's Email
Is the Program Director's email the same as Local Contact Person's and/or the Chief Executive Officer's email?
Yes
No
Program Director's Email
Do you want to send a copy of the submission of this form to another email address other than the one(s) listed above?
Yes
No
Additional Email
Select your Impact Area for this Program.
Health
Education
Financial Stability
Basic Needs
How does your program align with the Bold Goal of the Health Initiative?
Health Boal Goal:
Improve the mental health of Chippewa Valley residents.
Max: 750 words
How does your program align with the Bold Goal of the Education Initiative?
Education Bold Goal:
Children in the Chippewa Valley will enter school ready to succeed.
Max: 750 words
How does your program align with the Bold Goal of the Financial Stability Initiative?
Financial Stability Bold Goal:
Chippewa Valley residents will achieve self-sufficiency through employment training and personal money management skills.
Max: 750 words
How does your program align with the Bold Goal of the Basic Needs Initiative?
Basic Needs Bold Goal:
Chippewa Valley residents will have access to food, shelter and medical services in their time of need.
Max: 750 words
Describe your organization’s qualifications (e.g., staff’s knowledge, competency, experience and licensure) and any historical data that demonstrate previous accomplishments (e.g., program capacity, longevity, awards, community recognition and success rate). If this is a new program, describe any documented success related to your other programs.
Max: 600 words
Describe how your program will be staffed and how the staff and volunteers will be prepared, trained and managed.
Max: 600 words
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