If you prefer to print your application to be emailed or faxed, please download and fill out the application (CSBG form) below. If you don't have any income documentation, please also fill out the income self-declaration form and send that in as well. Return them and copies of any required documentation to Community Action Wayne/Medina fax (330.264.4573), email (transportation@cawm.org) or mail to Transportation at Community Action Wayne/Medina at 905 Pittsburgh Ave, Wooster, OH 44691. All of your information is confidential and will not be shared without your permission.