Agency General Application – 2 Programs

2026 APPLICATION DEADLINE: Friday, February 27, 2026

Thank you for your interest in applying for a Community Grant. United Way of Ogle County Community Grants grants are over $3,000 and paid out quarterly. To apply for a grant less than $3,000, please use our Mini Grant Application form by clicking here.

1. General Agency Information
Agency Name*
Phone*
Address*
Website*
Chief Executive Officer: (Director) Name*
Chief Executive Officer: (Director) Email*
Upload Board of Director Information Inlcuding Names and Office Held*
Max. file size: 6 MB.
What is the mission of your organization.*
Describe the work of your organization.*
2. Public/Private Grants and Capital Fundraisers
Are United Way dollars used to match grants?*
- Yes
- No
Did you conduct a Capital Drive in 2025 or do you plan to launch a campaign in 2026?*
- Yes
- No
3. Statement of Financial Position
Upload documents for each item below using figures from most recent FY audit or your financial software program. If you don't have one of the required documents, you may skip the step, but the form requires that you upload a document so you may upload a blank Word document. Acceptable file types: jpg,jpeg,png,pdf,doc,xls. Max file size 6MB
IRS 990*
Max. file size: 6 MB.
Audit*
Max. file size: 6 MB.
Including auditor's opinion letter and management letter. If your agency budget is less than $500,000, an audit is not required. Just upload a document that explains your organization is not required to submit an audit.
Profit and Loss*
Max. file size: 6 MB.
Upload your most recent fiscal year ended profit & loss report comparative to prior year from your software program (not the auditor's report).
Balance Sheet*
Max. file size: 6 MB.
Upload your most recent fiscal year ended balance sheet comparative to prior fiscal year from your software program (not the auditor's report).
Agency Budget*
Max. file size: 6 MB.
Upload your most recent agency budget.
Grants, Donations And Sponsorships*
Max. file size: 6 MB.
Please provide a list of grants, donations and/or sponsorships over $5,000 received or to be received for the most recent FY .
Endowment Fund*
Max. file size: 6 MB.
If your agency has an endowment fund please includ the amount, reason for the fund, and if any investment earnings are available for unrestricted expenses.
Fundraisers - Past 12 Months AND Planned Within The Next Year*
Max. file size: 6 MB.
List of all fundraisers (including direct solicitations) help in the past 12 months. List dates and net profit. For future fundraisers, list planned dates and projected profit.
4. Program 1's Information
Program Name*
Funding requested for this program - Request this year*
Funding received in the last United Way funding cycle for this program*
Please explain if there is a significant increase or decrease (+ or - 15%) between the last amount allocated and the amount requested this year.
5. Program Background
Identify community issues that this program works to prevent, alleviate, or solve. Explain what gaps in service would exist if your program is not carried out in our community.*
Coordination and Collaboration: Explain which programs in our community offer similar services and what your organization does to avoid duplication of services. Who does your agency collaborate with to promote integration of services, decrease costs, and/or achieve desired outcomes.*
How are United Way funds used in this program? (Examples: as matching funds, to meet expenses of low-income clients, for scholarships, etc.)*
Has this program been expanded or reduced in the past year? Please describe.*
6. Program Sustainability
Discuss your organization’s ability to sustain this program long-term in the event United Way funding is decreased or eliminated. What modifications can be made if United Way is unable to fund your proposal at the requested level.*
7. Individuals Served
Provide number of unduplicated persons served by this program. (Auxiliary or supportive services, such as survey, brochure, and newsletter are not to be counted as persons served.) Numbers listed below should be UNDUPLICATED numbers.
Demographics
Max. file size: 6 MB.
Please attach your demographics for the program. Information required: # served by town, # served in other counties, breakdown of age group, gender, ethnicity and income levels, if available.
8. Outcome Measurements
How do you know if your program is successful? What are the benefits or changes for individuals during or after participating in program activities. How well is the program achieving the desired outcome?" What method(s) are currently used (if any) to collect data determining the efficacy of your program?*
9. Program Financials
Program Budget, if different than Agency Budget
Max. file size: 6 MB.
Please upload the program budget for the most recent fiscal year ended, if applicable.
10. Promotion
Success Story*
Provide a success story from this program that can be shared publicly. If needed, you may change names to protect the identity of children and those in sensitive situations.
Promotional Picture
Max. file size: 6 MB.
If possible, provide a photo that can be used publicly, including social media. If the picture includes identifiable people a photo release is also required. A photo will result in additional promotion of your program and will be beneficial to both United Way and your organization.
Photo Release
Max. file size: 6 MB.
If the picture above includes identifiable people, a photo release is also required. Feel free to use your own photo release form.
Help us monetize the value of donor support.*
Use specific examples for each of the dollar amounts below explaining how a donation of that amount will impact the community. Example: Your gift of $5 per week helps children recover from the effects of child abuse with four counseling sessions. Fill in the dollar amounts below with specific examples of how a donation of that amount will impact the community. $1 per week ($52) $5 per week ($260) $10 per week ($520) $25 per week ($1300)
11. Program 2's Information
Program 2's Name*
Funding requested for this program - Request this year*
Funding received in the last United Way funding cycle for this program.*
Please explain if there is a significant increase or decrease (+ or - 15%) between the last amount allocated and the amount requested this year for program.*
12. Program 2's Background
Identify community issues that this program works to prevent, alleviate, or solve. Explain what gaps in service would exist if your program is not carried out in our community.*
Coordination and Collaboration: Explain which programs in our community offer similar services and what your organization does to avoid duplication of services. Who does your agency collaborate with to promote integration of services, decrease costs, and/or achieve desired outcomes.*
How are United Way funds used in this program? (Examples: as matching funds, to meet expenses of low-income clients, for scholarships, etc.)*
Has program 2 been expanded or reduced in the past year? Please describe.*
13. Program Sustainability
Discuss your organization’s ability to sustain this program long-term in the event United Way funding is decreased or eliminated. What modifications can be made if United Way is unable to fund your proposal at the requested level.*
14. Individuals Served
Provide number of unduplicated persons served by this program. (Auxiliary or supportive services, such as survey, brochure, and newsletter are not to be counted as persons served.) Numbers listed below should be UNDUPLICATED numbers.
Demographics
Max. file size: 6 MB.
Please attach your demographics for the program. Information required: # served by town, # served in other counties, breakdown of age group, gender, ethnicity and income levels, if available.
15. Outcome Measurements
How do you know if your program 2 is successful? What are the benefits or changes for individuals during or after participating in program activities. How well is the program achieving the desired outcome?" What method(s) are currently used (if any) to collect data determining the efficacy of your program?*
16. Program Financials
Program Budget, if different than Agency Budget
Max. file size: 6 MB.
Please upload the program budget for the most recent fiscal year ended, if applicable.
17. Promotion
Program 2 Success Story*
Provide a success story from this program that can be shared publicly. If needed, you may change names to protect the identity of children and those in sensitive situations.
Promotional Picture
Max. file size: 6 MB.
If possible, provide a photo that can be used publicly, including social media. If the picture includes identifiable people a photo release is also required. A photo will result in additional promotion of your program and will be beneficial to both United Way and your organization.
Photo Release
Max. file size: 6 MB.
If the picture above includes identifiable people, a photo release is also required. Feel free to use your own photo release form.
Help us monetize the value of donor support.*
Use specific examples for each of the dollar amounts below explaining how a donation of that amount will impact the community. Example: Your gift of $5 per week helps children recover from the effects of child abuse with four counseling sessions. Fill in the dollar amounts below with specific examples of how a donation of that amount will impact the community. $1 per week ($52) $5 per week ($260) $10 per week ($520) $25 per week ($1300)
11. Signature
In the event any of the information contained in this allocation request is deemed false or misleading, United Way of Ogle County reserves the right to place restrictions on the Agency’s use of United Way money or to reduce or terminate funding.
Name of Person Approving Form
Date
Anti-Terrorism Compliance Measures
I hereby certify on behalf of my organization that all United Way funds and donations will be used in compliance with all applicable anti-terrorist financing and asset control laws, statutes and executive orders.
In compliance with the USA PATRIOT Act and other counter terrorism laws, the United Way of Ogle County requires that each agency certify anti-terrorism compliance measures.
Signature*

* A link to a pdf of your entries will be emailed to you after submission. But you can click below to print the screen at any time.

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Agency General Application – 2 Programs

2026 APPLICATION DEADLINE: Friday, February 27, 2026

1. General Agency Information

2. Public/Private Grants and Capital Fundraisers

3. Statement of Financial Position

4. Program 1's Information

5. Program Background

6. Program Sustainability

7. Individuals Served

8. Outcome Measurements

9. Program Financials

10. Promotion

11. Program 2's Information

12. Program 2's Background

13. Program Sustainability

14. Individuals Served

15. Outcome Measurements

16. Program Financials

17. Promotion

11. Signature

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