Partner Agency Application

If you are interested in applying for 2019 funding,
please fill out and submit the information below.

A.  Download the Staff Information/Budget Formcomplete it, and email it to impact@uwcl.org.  This can be done separately from the rest of the application to preserve confidentiality.  

B.  Download the Client Information and the Outcome Form.  You will need to complete it and then upload it below along with other requested documents.

C.  Due to our web software limitations, the application has to be completed at one sitting.  Thus we recommend that you first look over the documents you'll need (you can press control-P to print the page for reference), gather the required materials for upload, and then sit down to complete the application.  

Your application is not complete until all of the information below is submitted and the "Staff Information/Budget" forms are emailed to United Way. 
 

Applications are due MONDAY, APRIL 16, 2018 

We strongly recommend that you download, save, and print the following four documents for reference while you're completing the application materials:
1.  Agency Program Information

2.  Roadmaps 
3.  Program Outcome Example
4.  Program Outcome Measurement Form Example


As always, feel free to call Sharon Greiner with any problems or questions:
443-7203, extension 2, or if you prefer, email her at sharon@uwcl.org


 

Please include name, place of employment, address and phone number. If this roster does not identify board officers, please attached a list of the officers of your board as well.
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.
Please attached a copy of your board minutes for the most recent two meetings.
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls.
Attached a schedule of your Board Meetings, dates, times and location for the year.
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls.
Attach IRS 990 Form for the last fiscal year.
Files must be less than 128 MB.
Allowed file types: gif jpg png pdf doc docx xls.
Select all parishes served by your agency
List program name and the amount requested. If requesting for more than one program, list programs and amounts separately.
Please select which impact areas your programs fall within. You may select multiple areas.
Files must be less than 256 MB.
Allowed file types: gif jpg jpeg png pdf doc.
Files must be less than 256 MB.
Allowed file types: gif jpg jpeg png pdf doc.
Files must be less than 256 MB.
Allowed file types: gif jpg jpeg png pdf doc.
Please upload a program description for the impact areas you selected above.
Files must be less than 256 MB.
Allowed file types: gif jpg jpeg png pdf doc.
Files must be less than 122 MB.
Allowed file types: gif jpg jpeg png txt html pdf doc docx.
Attach one or more success stories to each program that UWCL can use in its fundraising efforts on behalf of your agency. Please change names where confidentiality is a concern.
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls.
Attach copy of your most recent audit
Files must be less than 128 MB.
Allowed file types: gif jpg png pdf doc docx xls.
Attach a copy of your board minutes showing where the board received and approved the audit.
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls.
Does your agency currently carry insurance policies for: (check all that apply)
Attach copy of most recent financial report for your local office.
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls.
Attach a copy of your agency's end of year financial report using your last fiscal year.
Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls.
Files must be less than 128 MB.
Allowed file types: gif jpg png txt pdf doc docx.
Files must be less than 128 MB.
Allowed file types: gif jpg png txt pdf doc docx.

Newsletter Sign Up