Partner Agency Eligibility Determination Application

Thank you for your interest in becoming a United Way of Mid-Maine (UWMM) Partner Agency. This application is the first of a two-step process that UWMM uses to assure that all our partner agencies are providing services that align with our mission and strategic community outcomes and can align with our Standards of Community Accountability.

Partner Agency Application for Eligibility

Organization Name *

Address *

Phone *

Email *

Fax

Website *

Contact Person & Title *

Contact Phone *

Contact Email *

What is your organizations Mission and Vision? *

Briefly describe the services that your organization currently offers. *

Which of the following Community Focus Areas does your organization align with (choose all that apply)? *

Health: All individuals in Mid-Maine are in safe and healthy environments with access to health supports and services.

Education: All Mid-Maine children grow up in a stable environment—safe, healthy, and ready to learn.

Financial Stability: All Mid-Mainers have access to resources and training to secure opportunities to be financially stable and independent.

Please describe how your organizations programming aligns with the Community Focus Area(s) selected above. Include the services you provide, how you collaborate with other programs and how you advocate for the focus area. *

If you are human, leave this field blank.

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