(Required) Name Of Main Contact Person (Required)
Upload a Document Showing The Current Board Of Directors Roster. This Document MUST INCLUDE TWO SIGNATURES; One From The Preparer And One From A Board Office Member. Upload A Local Advisory Board Document If Applcable.
Upload Your Most Recent Audit or IRS 990 (For Agencies That Are Not Required To Submit A 990 To The IRS, Please Attach Your Reviewed Financial Statements)
Do You Have A DEI, Diversity, Equity, Inclusion Statement? (Required) Please Provide a SHORT Narrative About Your Agency (Required) Program Description (Required) Did This Grant Program Receive UW Funding Last Year? (Required) If This Is An Increase In Funding Request From Last Year, Please Provide Explanation For Need Of Additional Funds
Upload document showing Agency Program Budget or Statement of Financial Activities/Position (balance sheet)
Program Impact And Priority Area: Choose ONE Impact And Priority Area From The List Below (Required) --- Community Impact Program Outcomes 2020 Grant Program Results --- This Information Is Collected To Determine The Outcomes Of Previous Year Grant Dollars SUCCESS STORY Include one client story from this program from the past 12 months. The United Way of Bradford County is committed to respecting individual’s privacy. This information will remain confidential unless authorized for use in marketing purposes. Can The United Way Use This Story For Marketing Purposes?
If Possible, Please Upload A Candid Photograph For Purpose Of Publication If Available That Effectively Shows The Success Story
The Board of Directors and staff of the applying agency have reviewed and approved this request prepared for the United Way of Bradford County. It fairly and accurately represents the needs of the program in serving the residents of the Bradford County Community. We understand this request will be considered with all requests for funding, and if funded, we agree to abide by all United Way policies.
Preparer's Name (Required)
Name of Board/Officer Who Can Verify This Application Information (Required)