Please complete the information requested below. When your submission is received, United Way staff will create a login for your organization to access the online Community Investment Fund application.

Use the Outcome Reporting Guide to determine which Impact Area your proposed program/project aligns with: Helping Kids Be All They Can Be; Building Strong and Healthy Communities; or Moving People from Poverty to Possibility.

Before filling in this form, please carefully review the 2021 Community Investment Fund Guidelines to confirm that your agency and program/project is eligible to apply for this funding.

If you have any technical problems completing this form, please contact Chelsea at

Items marked with an asterisk(*) are required