Grant Report

United Way is committed to investing in local programs producing measurable results.

This report is to be completed one year from the date dollars are granted, as indicated in your grant agreement.  If dollars are not completely disbursed after one year, a report must be submitted every six months until dollars are expended. 

Questions? Please contact Dawn Mason, Community Impact Coordinator, at (260) 927-0995 or



PART I - Agency Information

Part II - Program Information

(If dollars are not expended please resubmit a grant report every 6 months until dollars are expended)
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png.
By typing your name above you certify that you have authorization to sign this grant report for the agency named above.