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Membership Application

Please complete this form, click "Submit", then mail the appropriate dues amount to:

Grantmakers In Aging
7333 Paragon Road, Suite 220
Dayton, OH 45459-4157

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Total Grants for Previous Year ($)*

Aging Related Grants for Previous Year ($)*

Areas of Focus*		Arts / Culture Arts/ Culture / Humanities Creativity in Aging Cultural Competency General Operating Support Capacity Building Caregiving Caregiver Respite Caregiving - Community Based Caregiving - Home Based Children, Youth, and Families - General Elder Abuse Elder-Friendly Communities End of Life Care Equipment Faith-based General Operating Support Health - Specific Diseases Housing Income Development Intergenerational Long Term Care Money Management Nursing Rural Elders Children / Youth / Families Education - General Elder Abuse Faculty / Staff Development Faith-based Frail Elderly General Operating Support Housing Intergenerational Science Social Science Technical Aid Communities Access to Services Civic Engagement Education - General Faculty / Staff Development Fall Prevention Faith-based Frail Elderly Healthcare Healthcare Quality Housing / Home Repair Lifelong Learning Shared Facilities and Services Transportation Economic Economic Development Endowments Equipment Frail Elderly General Operating Support Health - Specific Diseases Housing Immigrants / Refugees Income Development Land Acquisition Management / Development Minorities - General Money Management Safety / Disaster Relief Seed Money Women Education / Training Children, Youth, and Families - General Computer Systems / Equip. / Technology Conferences / Seminars Economically Disadvantaged Education - General Employment Endowments Ex-offenders Faculty / Staff Development Fellowships Geriatric Training of Physicians Immigrants / Refugees Lifelong Learning Medical Research Minorities - General Research Science Social Science Technical Aid Women Environment Elder-Friendly Communities Food / Nutrition / Agriculture Housing / Home Repair Shared Facilities and Services Health Access to Services Alzheimer's Disease / Related Disorders Behavioral Health Caregiver Respite Caregiving - Community Based Caregiving - Home Based Children, Youth, and Families - General Conferences / Seminars Direct Health Care Delivery Disabled Economically Disadvantaged Elder Abuse Faculty / Staff Development Fall Prevention Fellowships Food / Nutrition / Agriculture Frail Elderly General Operating Support Geriatric Training of Physicians Health - Specific Diseases Healthcare Healthcare Quality Immigrants / Refugees Medical Research Medically Underserved Population Mental Health / Substance Abuse Mentally Disabled Minorities - General Nursing Philanthropy / Volunteerism Physically Disabled Proactive Senior Wellness Public Health Coverage Research Rural Elders Women Minority Populations Access to Services Children, Youth, and Families - General Computer Systems / Equip. / Technology Crime Court / Legal Services Economically Disadvantaged Employment Ex-offenders Food / Nutrition / Agriculture Gays / Lesbians Housing / Home Repair Immigrants / Refugees Medically Underserved Population Minorities - General Race / Ethnicity Science Shared Facilities and Services Social Science Women Public Affairs / Government Access to Services Advocacy Centers / Services Children, Youth, and Families - General Civil Rights Crime Court / Legal Services Direct Health Care Delivery Elder Abuse Elder-Friendly Communities Employment Ex-offenders Frail Elderly Gays / Lesbians Healthcare Healthcare Quality Housing Human Services - Multi Purpose Legal Services Mental Health / Substance Abuse Outreach and Case Management Public Health Coverage