Come TogetherINITIAL - Community Partners Grant Application   -   Due March 1, 2023   (Beginning of 3 year cycle)

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AGENCY INFORMATION











Your 12 month accounting period.









(50 words or less)





(250 words or less)
AGENCY GOVERNANCE PRACTICES







%





(50 words or less)

OPTIONAL (50 words or less)
AGENCY PARTICIPATION IN UWGL ACTIVITIES


(50 words or less)
INTERNAL CAMPAIGN




%

$
Estimates are acceptable.

(50 words or less)

(100 words or less)
FINANCIAL OVERVIEW OF AGENCY
UWGL encourages financial stability in our partner agencies.  We encourage you to develop operating reserves and endowment funds as they indicate diversified and stable funding.  You are not penalized for healthy balances in these funds.  Reserves of 3-6 months of operating expenses are recommended.  Provide information based upon your most recently completed fiscal year.

$


$
(From Line 12 of Form 990, or Line 9, Part I of Form 990-EZ)

$
(From Part IX, Line 25(A) of Form 990, or Line 17, Part I of Form 990-EZ)

$

$
(From Part IX, Line 25(B) of Form 990, or Line 32, Part III of Form 990-EZ)

$
(From Part IX, Line 25(C) of Form 990, or if filing Form 990-EZ, from agency budget)

$
(From Part IX, Line 25(D) of Form 990, or if filing Form 990-EZ, from agency budget)

$

%

%
PROGRAM INFORMATION





CURRENT REQUEST FOR GRANT FUNDING FOR THIS PROGRAM

$

$

%


$
Do not include designations received; this number should reflect only the UWGL Award.

$
AREA OF IMPACT




PROGRAM INFORMATION

(100 words or less)


(100 words or less)


(250 words or less)

(100 words or less)

(100 words or less)


(50 words or less)

(50 words or less)
PROGRAM OUTCOMES/IMPACT
Program Outcomes/Impact ANTICIPATED IN THE COMING FUNDING YEAR (July 1 through June 30)
HOW ARE PEOPLE'S LIVES IMPROVED BECAUSE OF YOUR PROGRAM SERVICES?

Measuring the success of your agency initiatives is an important part of effectively managing a program.  UWGL must be able to show our donors that their contributions are truly making a positive difference in our community.  Therefore, part of applying for funding is to offer evidence that what you are doing is effective. 

Below we ask you to share your desired outcomes for this program in the coming year.  Tell us how you hope to impact lives through the services you provide.  We require a minimum of two (2) outcomes, and a maximum of four (4).  

In March and September, we will ask you to report on your success at reaching your program goals when you complete the IMPACT REPORTS.
Outcome  Desired Data/Tools   Used to Track Progress Target # of Clients  Receiving  Service Target #  Achieving Desired  Outcome Target % Achieving Desired  Outcome
Outcome #1
Outcome #2
Outcome #3
Outcome #4

Optional (50 words or less)
COMMUNITY IMPACT OF YOUR PROGRAM

(50 words or less)

(50 words or less)

(50 words or less)

(50 words or less)
REQUIRED DOCUMENTATION
United Way standards require specific documentation from its' partners.  Please upload the MOST RECENT version of all the following documentation.  In addition, please follow these instructions for uploading successfully.  
  • All attachments in pdf format should have portrait orientation and be sized to 8 1/2 x 11 only.
  • The file size should not exceed 35 MB.
  • If a document consists of multiple pages, it needs to be uploaded in one file.  Do not attempt to upload one page at a time on any question requiring upload.
  • The file extensions accepted by the system are pdf, doc, docx, xls, xlsx, ppt., pptx(PDF is PREFERRED.)
Success Stories
One of the most powerful tools UWGL can use to raise funds in support of our community partners is the success/impact stories.  Donors who hear specifics of how an individual or family has been helped are much more likely to give than those not exposed to stories.  Stories should give anecdotal evidence of the effectiveness of your program's services, describing how the client's life was changed.  This information will be used by UWGL's communication and marketing efforts.
Download Forms Needed to Complete Application
Please visit www.unitedwaylima.org/agency-resources to download the following forms for submission.  BECAUSE THESE FORMS ARE PERIODICALLY UPDATED, PLEASE DOWNLOAD THE LATEST VERSION FROM THE WEBSITE RATHER THAN RELYING ON THE FORM YOU USED LAST YEAR.

     1.  Success Story Release
     2.  USA Patriot Act Statement of Compliance
     3.  Program Budget Form (Required)
     4.  Optional Worksheet for Completing Program Outcomes
Upload Agency Information








You may include any documents you were unable to upload above, as well as anything else you feel is pertinent to your program.
Upload Program Information

Please complete the Program Budget Form (found at the link listed above) with the simplified financial budget of only the program for which you are requesting funding.

Please be sure to include one NEW success story from the past year.

OPTIONAL (50 words or less)
ENVISION THE FUTURE WITH US!

The hope of UWGL is to inspire the community to give every campaign year.  We want to move our county from a mindset of “desperation” (just hoping to hit a campaign goal) towards one of “inspiration” (considering what might be possible if more people participated in the campaign).  Sometimes the stories of what you are unable to do because of lack of funds is just as motivational as stories of what has been accomplished.  To move towards inspirational thinking we need you to dream with us.  What would be possible if we were able to double your United Way Grant?  We will use this information to inspire more people to give more money in next year’s campaign.  Thank you!


(250 words or less)
AUTHORIZATION
I verify that I have reviewed the information provided and it is accurate and correct to the best of my knowledge.  I also verify that I have reviewed it with my Program Director and have received Board support/approval.