Application for Funding

Program Form

 

2021 Funding Application - Program Application

3. Program Contact Information


If you receive matching funds or other additional funding when you receive UWMM funding, please indicate how much.
$
$
If your services are similar or complementary to those of other programs, highlight any collaborations that can help UWMM understand your relationship with those programs.

11. Program Updates

List any major program changes—since last review and expected in the coming year—including those related to program revenue, key personnel, program delivery, service delivery capacity, or service population.

Your choice determines the funding stream your program will be considered for.

14. Define Your Year

Many of the following questions ask for annual information. This can be by calendar year or by fiscal year. Define when the twelve-month period you use starts and ends (for example, Jan 1-Dec 31 or July 1-June 30).

15. How much did we do?

Provide the total number of people served who: (According to how your program tracks numbers served.)
Provide numbers for both (1) the most recent year for which you have complete data and (2) for the current year.

Use the time frame you defined in question 13. How much do you hope to do this year?
Use the time frame you defined in question 13. How much are you on track to do this year?
Use the time frame you defined in question 13. How much did you do last year?

How well did we do it? (Health)

Provide data for the people your program served who either reside in or were served in UWMM's service area.
For example: Regular basis for a program offered daily is an average attendance of 3 or more times a week.
Use the time frame you defined in question 13. How well do you hope to do it?
%
Use the time frame you defined in question 13. How well are you on track to do it?
%
Use the time frame you defined in question 13. How well did you do it last year?
%
Use the time frame you defined in question 13. How well do you hope to do it?
Use the time frame you defined in question 13. How well are you on track to do it?
Use the time frame you defined in question 13. How well did you do it last year?

How well did we do it? (Education)

Provide data for the people your program served who either reside in or were served in UWMM's service area.
For example:
Regular basis for a program offered daily is an average attendance of 3 or more times a week
Use the time frame you defined in question 13. How well do you hope to do it?
%
Use the time frame you defined in question 13. How well are you on track to do it?
%
Use the time frame you defined in question 13. How well did you do it last year?
%

How well did we do it? (Financial Stability)

Provide data for the people your program served who either reside in or were served in UWMM's service area.
Use the time frame you defined in question 13. How well do you hope to do it?
%
Use the time frame you defined in question 13. How well are you on track to do it?
%
Use the time frame you defined in question 13. How well did you do it last year?
%

What was the difference made? (Health)

Provide data for the people your program served who either reside in or were served in UWMM's service area.
Use the time frame you defined in question 13. What difference do you hope to make?
%
Use the time frame you defined in question 13. What difference are you on track to make?
%
Use the time frame you defined in question 13. What difference did you make last year?
%

What was the difference made? (Education)

Use the time frame you defined in question 13. What difference do you hope to make?
%
Use the time frame you defined in question 13. What difference are you on tack to make?
%
Use the time frame you defined in question 13. What difference did you make last year?
%

What was the difference made? (Financial Stability)

Provide data for the people your program served who either reside in or were served in UWMM's service area.
Use the time frame you defined in question 13. What difference do you hope to make?
%
Use the time frame you defined in question 13. What difference are you on track to make?
%
Use the time frame you defined in question 13. What difference did you make last year?
%

Action Plan

Did you meet your goals? Were you successful in attaining your objectives?

Success Stories

27. Previous Year Actual Income and Expenditures

Provide your Previous Year Actual Income and Expenditures in the table below, using the time frame you defined in question 13.
List funding received by source:
  1. Government (local, state, or federal)-sourced funding
  2. UWMM
  3. Other United Ways (UWs)
  4. Program fees and/or member dues
  5. All other sources
$
$
$
$
$
$
$

28. Upcoming Year Budgeted Income and Expenditures

Provide your Upcoming Year (the year for which you're requesting UWMM funds) Budgeted Income and Expenditures in the table below, using the time frame you defined in question 13.
List funding received by source:
  1. Government (local, state, or federal)-sourced funding
  2. UWMM
  3. Other United Ways (UWs)
  4. Program fees and/or member dues
  5. All other sources

Budgeted UWMM amount should be what you're requesting on this application (question 6).
$
$
$
$
$
$
$
If there is anything unusual or remarkable about your budget that you'd like to explain, use this space to do so. For example:
  • Why your program is operating at a loss
  • Which other United Ways you receive funding from
  • A description of your government or other source funding
  • Whether you are including any unconfirmed funding
  • Why there is a large discrepancy between your Previous Year Actual and Current Year Budget amounts

Additional Information [Optional]

This is an opportunity to define or explain anything from previous questions that you haven't had the chance to share, yet. For example:
  • If funding had been rescinded or previously denied, what you've done to address UWMM's concerns
  • How an outlier skews your data for one of your performance measures
  • Why your projected numbers are significantly different from most recent numbers
  • If your program is new, why a new program is needed