Get United Way Funding

Our grant application for 2025 program funding is now open.

Partner Agencies, please complete the application below. Contact Community Impact Manager Kaleb Brown at 419-423-1432 for assistance or more information.

Agency & Program Name

Program Grant Request (Enter dollar amount)

A — PROGRAM DESCRIPTION AND ALIGNMENT

A1 — What is the mission of your agency?

A2 — Please describe and explain your program. What need in Hancock County is being addressed?

A3 — Approximately what percentage of Hancock County residents experience this situation?

A4 — What services and/or resources does your program provide?

A5 — How many individuals does the program serve?

We would like to gather a complete picture of who the program serves. Please provide the following numbers to the best of your ability.
Number served on an individual basis	Number served in a group setting
Total served in 2023	Total served in 2023
2024 forecast	2024 forecast
Current number served as of Aug. 1, 2024	Current number served as of Aug. 1, 2024
2025 forecast	2025 forecast

B — PROGRAM GOALS FOR 2025

B1 — What goals does the program plan to achieve in 2025? Please be as specific as possible.

B2 — Will there be significant changes to your program next year? If so, please explain.

C — PROGRAM PERFORMANCE MEASURES AND METRICS

C1 — Is the program achieving the desired impact? Please explain.

C2 — Does this program address the root cause of community need or is it intended to meet emergency needs? Please explain.

C3 — Is the impact on your clients short term, long term or both? Please explain.

C4 — How do you monitor and measure the program's effectiveness?

C5 — Please provide examples of the data or statistics you monitor to determine if and how your clients are better off as a result of the agency's programming. This may include outcomes, results or dashboards, and can be summarized in a way to protect privacy.

C6 — Does the program utilize volunteers? If so, how are they used and how many volunteer hours have been logged this year as of Aug. 1?

C7 — If volunteers are utilized, what is the forecasted number of volunteer hours for 2025?

D — STRATEGIC RELATIONSHIPS* Think about strategic partnerships in regard to collaboration versus cooperation, with collaboration being the interaction of two or more organizations producing a combined effect greater than the sum of their separate efforts, and cooperation being the interaction of two or more organizations that merely work together to achieve the same goal.

D1 — Please provide one or more examples that demonstrate how this program collaborates with others within the community.

D2 — Please explain how collaborating in the community results in the program achieving greater results and impact than it would on a standalone basis.

D3 — Please explain how cooperating in the community results in the program achieving greater results and impact than it would on a standalone basis.

E — FINANCIAL DATA

Please download and complete the attached financial data spreadsheet.

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F — FINANCIAL REVIEW (serves as a supplemental narrative to attached financial data)

F1 — Please explain all variances greater than +/- 10% between the 2024 Program Budget/Forecast and the 2025 Proposed Program Budget.

G — GRANT COMPLETION

G1 — Please attach your most recent agency audit or financial review

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G2 — Attach your most recent board-approved financial statements (balance sheet and statement of activities/income statement)

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G3 — Please attach Form 990, if applicable (Pages 1-12)

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