AGENCY APPLICATION

Partner Agency ANNUAL Allocation Application

United Way is committed to investing in local programs producing measurable results that greatly impact our community.
A United Way Partner Agency is a 501 (c)(3) non-profit organization that has applied for United Way ANNUAL funding through the Community Impact Committee. The CI Committee reviews all agency applications as well as evaluates those funded programs throught the year to maintain accounatbility to our donors while meeting the needs within our community through successful impact programs.

For questions please contact Dawn Mason, Community Impact Coordinator, at (260) 927-0995 ext. 11 or dawn@unitedwaydekalb.org.

*Revised 2-25-2019

 
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AGENCY INFORMATION

CURRENT - PROGRAM INFORMATION

NEW - PROGRAM INFORMATION

(Staff, space, materials, etc.)

DEMOGRAPHIC INFORMATION

AGENCY FINANCIAL INFORMATION

FUNDRAISING

COMMUNITY IMPACT REVIEW TEAM RECOMMENDATIONS

REQUIRED DATA

(this is your OVERALL agency budget, this will be in your OWN format)
Files must be less than 200 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.
(This is your program budget, this will be in the United Way format)
Files must be less than 200 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx xls xlsx.
Files must be less than 200 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.
Files must be less than 200 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.
Files must be less than 200 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.
Files must be less than 200 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.
Files must be less than 200 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.

PRESCHOOL/DAYCARE - ONLY

(Please provide documentation by uploading it at the end of this application under "additional documentation")