Hero Campaign Banner imageSmall/Special Projects Impact Report   -   DUE ONE YEAR after funding begins.

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REVIEW PERIOD
The REVIEW PERIOD includes the full 12 month funding cycle, starting with the date funding was received.
AGENCY INFORMATION





PROGRAM INFORMATION



(250 words or less)

(100 words or less)
PROGRAM BUDGET


$

$

%

(50 words or less)

$

$

%
PROGRAM OUTCOMES/IMPACT
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 being a recipient of United Way funding is to offer evidence that what you did was effective. 

Below we ask you to share what progress you made in the 12 month review period toward meeting your targeted program outcomes.  The outcomes listed should match the outcomes you established in your application for funding.  We require a minimum of one (1) outcomes and a maximum of four (4).
Program Outcomes/Impact in the Twelve (12) Month Review Period

Outcome Desired Data/Tools Used to Track Progress # of Clients Receiving Service # Clients Achieving Desired Outcome Target % Achieving Desired Outcome % Achieving Desired Outcome % of Clients Receiving Service
Outcome #1
Outcome #2
Outcome #3
Outcome #4

OPTIONAL (50 words or less)
DEMOGRAPHIC REPORTING
TIME FRAME FOR Demographic Reporting is the TWELVE MONTH period following the receipt of the United Way Small/Special Projects Grant.

Definition:
  • A client served is a person who received services from your program.
  • In the case of a program which has membership, count only those who are officially members of the program.
  • Count unduplicated clients served at your Allen County location.
  • Count only the clients served through the Program funded by your United Way grant..
  • If your program/service is offered inside the schools, you may use the zip code of the school.
  • PLEASE NOTE:  The "totals" in each category should be the same from category to category.
Clients Served by Area of Residence
Please input the number of unduplicated clients served from each location listed below.  Please count only clients served in Allen County through the funded program.  If your program is offered inside the schools, use the zip code of the school where the service was provided.
















Clients Served by Age
Please input the number of unduplicated clients served from each age category listed below.  Please count only clients served in Allen County through the funded program.







Clients Served by Gender
Please input the number of unduplicated clients served from each gender category listed below.  Please count only clients served in Allen County through the funded program.





Clients Served with Disabilities
Please input the number of unduplicated clients served from each disability category listed below.  Please count only clients served in Allen County through the funded program.





Clients Served by Race/Ethnicity
Please input the number of unduplicated clients served from each racial/ethnic category listed below.   Please count only clients served in Allen County through the funded program.









Clients Served by Income Level
Please input the number of unduplicated clients served from each income level category listed below.  Please count only clients served in Allen County through the funded program.




Additional Explanation

Optional (50 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.