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SMALL/SPECIAL PROJECTS Grant Application  -   Requests Considered Monthly during August through February

AGENCY INFORMATION










Your 12 month accounting period.








PROGRAM INFORMATION



(250 words or less)

(200 words or less)
CURRENT REQUEST FOR GRANT FUNDING

$

$

%

(100 words or less)
PROGRAM OUTCOMES/IMPACT
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, please share your desired outcomes for this program in the coming year.  We require a minimum of one (1) outcomes and a maximum of four (4).
Program Outcomes/Impact ANTICIPATED IN THE COMING YEAR
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)
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.)
Download Forms Needed to Complete Application
Please visit www.unitedwaylima.org/agency-portal to download the following forms for submission:

     1.  USA Patriot Act Statement of Compliance
     2.  Program Budget Form (Required)
     3.  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.
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.