Requested funding amount from United Way: Total annual program cost: Portion of total program cost that is United Way request: (Right-click gray fields, “Update Field”) Total number of persons to be served: Average United Way cost per person: (Right-click gray fields, “Update Field”) Average program cost per person: (Right-click gray fields, “Update Field”) To qualify for this funding cycle, applicants must demonstrate a funding match of 25% the requested amount from other sources. The match must be in the form of cash or cash equivalents (e.g., financing, grants from organizations other than United Way, etc.). Non-cash matches (e.g., unrealized revenue or in-kind support) are not acceptable funding sources for this match. Using the grid below, list other funding sources that will constitute the required 25% cash match. Name of Funding Source Type of Support If Other, describe: Amount of Support Describe how the proposed program will remain financially sustainable after Year 2 of United Way funding. Limit answers to 250 words. Relevant Experience How is your organization qualified to solve this problem in our community? Limit answers to 250 words.
Requested funding amount from United Way: Total annual program cost: Portion of total program cost that is United Way request: (Right-click gray fields, “Update Field”) Total number of persons to be served: Average United Way cost per person: (Right-click gray fields, “Update Field”) Average program cost per person: (Right-click gray fields, “Update Field”) To qualify for this funding cycle, applicants must demonstrate a funding match of 25% the requested amount from other sources. The match must be in the form of cash or cash equivalents (e.g., financing, grants from organizations other than United Way, etc.). Non-cash matches (e.g., unrealized revenue or in-kind support) are not acceptable funding sources for this match. Using the grid below, list other funding sources that will constitute the required 25% cash match. Name of Funding Source Type of Support If Other, describe: Amount of Support Describe how the proposed program will remain financially sustainable after Year 2 of United Way funding. Limit answers to 250 words. Relevant Experience How is your organization qualified to solve this problem in our community? Limit answers to 250 words.
Funding%20Application%20-%20Emerging%20Service%20Needs%20Form.docx