Agency General Application – 2 Programs

2024 APPLICATION DEADLINE: Thursday, February 29, 2024 by noon.

Thank you for your interest in applying for United Way of Ogle County’s Partner Agency Grants. The grants awarded are over $3,000 and paid out quarterly. To apply for a grant less than $3,000, please use our one page simplified method by clicking here.

  • 1. General Agency Information

  • Max. file size: 6 MB.
  • 2. Public/Private Grants and Capital Fundraisers

  • 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
  • Max. file size: 6 MB.
  • 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.
  • 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).
  • 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).
  • Max. file size: 6 MB.
    Upload your most recent agency budget.
  • 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 .
  • 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.
  • 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

  • 5. Program Background

  • 6. Program Sustainability

  • 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.
  • 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

  • 9. Program Financials

  • Max. file size: 6 MB.
    Please upload the program budget for the most recent fiscal year ended, if applicable.
  • 10. Promotion

  • 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.
  • 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.
  • 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.
  • 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

  • 12. Program 2's Background

  • 13. Program Sustainability

  • 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.
  • 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

  • 16. Program Financials

  • Max. file size: 6 MB.
    Please upload the program budget for the most recent fiscal year ended, if applicable.
  • 17. Promotion

  • 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.
  • 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.
  • 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.
  • 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.

* 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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