Agency Grant Application

Agency Grant Applications are now open!

The deadline for 2026-2027 application submissions is Thursday, March 18 at 4:00 p.m.

Please include the 2026 Grant Application Expenditures Form in your application. Applications without the Expenditures Form may NOT be accepted.

If you have any questions, please email Executive Director Celesa Willett at cwillett@uwhaywood.org.

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Part 2 - Program Information
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PART I - Agency Information

Agency Information

Agency's Name

Agency's Address

Address

City

State

ZIP Code

Mailing Address (if different)

Address

City

State

ZIP Code

Agency's Phone Number

Agency's Fax Number

Number of Employees

Agency's Web Address

Agency Mission Statement

Primary Contact Information

Primary Contact Name

Primary Contact Title

Primary Contact Email Address

Primary Contact Phone

Secondary or Volunteer Contact Name

Secondary or Volunteer Contact Title

Secondary or Volunteer Contact Email Address

Secondary or Volunteer Contact Phone

Fundraising and Administration

The percent of fundraising and administration must be completed from the information on the IRS Form 990 by adding the amount spent on "management and general" (Part IX, Column C, Line 25) to the "amount spent on fundraising" (Part IX, Column D, Line 25) and dividing the result by "total revenue" (Part 1, line 12).
Please only enter numbers - NO $ or commas.

Management and General Total (Part IX, Column C, Line 25) $

PLUS

Amount Spent on Fundraising (Part IX, Column D, Line 25) $

DIVIDED BY

Total Revenue (Part 1, Line 12) $

Percent of Administration and fundraising NAN%

If percent of fundraising and administration is over 25%, please explain:

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PART I - Agency Information

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