Grant volunteers

NAME

BUSINESS

MAILING ADDRESS

PHONE

CELL PHONE

I contribute to United Way (check one)

Individually

Through my workplace

EMAIL

Have you previously served on the grant committee? If yes, please give years.

Please list all affiliations with human service organizations in Cascade County for you and your immediate family. (This does not prevent you from serving, but it will help us place you so there is no conflict of interest.)

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