Grant Application – United Way of Central Kentucky

This field is for validation purposes and should be left unchanged.

Organization's Name(Required)

Address(Required)

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

Website

Primary Grant Contact Name(Required)

First Last

Primary Grant Contact Title(Required)

Phone(Required)

Email(Required)

Organization's Mission(Required)

Please describe the full range of services your organization provides, including but not limited to, the program(s) for which you are seeking funding.(Required)

Program Name(Required)

Counties the program will serve (Check all that Apply)(Required)

Amount Requested(Required)

Total Program Cost(Required)

Program Budget(Required)

Max. file size: 2 GB.

Program Budget Description(Required)

Please include specific details on how UWCK funds will be used.

Provide a summary of the program you are requesting funding for(Required)

What is your target population?(Required)

IIdentify which UWCK Focus Areas the program addresses (check all that apply)

Education

Financial Stability

Health

Basic Needs

Describe how the program impacts each UWCK Focus Area selected above.(Required)

Anticipated number of individuals that will be served by the program.(Required)

List at least 2 MEASURABLE outcomes of this program.(Required)

If this program is funded, there will be an expectation to report on these measurables in quarterly reports. The measurable outcomes should indicate the program’s impact.

Are you aware of any other organizations providing a similar service in your area and, if so, how does your program differ?(Required)

List any other funding sources for the program. Identify the funding amount and if it is pending or secured.(Required)

Describe the planned implementation timeline for the project.(Required)

Describe the planned implementation timeline for the project(Required)

List and describe active collaborations with community partners, if any.

If you are requesting $10,000 or more in UWCK funding, there must be collaboration with at least one community partner.

What are the intended goals of the program?(Required)

List and describe active collaborations with community partners, if any.

Note: If you are requesting $10,000 or more in UWCK funding, there must be collaboration with at least one community partner.

Any additional information you want to share about your program?

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