Grant Application – United Way of Central Kentucky

Agency Resources

Grant Application

Agency Name(Required)

CEO Name(Required)

First Last

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Program Name(Required)

Website

What County does your program serve?(Required)

Amount Requested(Required)

Program Budget(Required)

Max. file size: 50 MB.

Please tell us about your program including the following information:(Required)

Target population, projected total of individuals that will be served, how UWCK funding will be spent, desired outcomes, and how impact is measured.

What else would you like us to know about your program?

List any other current funding sources and amounts for this program(Required)

IRS Determination Letter

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

Most recent 990(Required)

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

501c3 Letter

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

Registration with Kentucky Secretary of State

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

If your revenue is under 500K and you have a financial review, submit here

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

Copy of By-Laws, including date approved by Board of Directors

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

Copy of Articles of Incorporation including date approved by Board of Directors

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

Most recent year-end operating statement of financials(Required)

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

If your agency revenue exceeds $500,000 and your are requesting $100,000 or more in UWCK funding, please provdie the date of the most recent audit.

Submit Audit Revenue over 500K

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

Other Document Upload

Accepted file types: pdf, xls, xlsx, xlsm, xltx, xltm, Max. file size: 50 MB.

Do you have a second program you are requesting funding for?(Required)

Second Program Information

Please tell us about your program including the following information:(Required)

Target population, projected total of individuals that will be served, how UWCK funding will be spent, desired outcomes, and how impact is measured.

What else would you like us to know about your program?

List any other current funding sources and amounts for this program(Required)

Program Budget(Required)

Max. file size: 50 MB.

What county does program serve?

Impact Area

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Signature