Agency Application | United Way of Amarillo and Canyon

United Way Amarillo & Canyon (UWAC) is seeking grant applications from programs in the area that fight for the education, health, income stability and basic needs for the Amarillo and Canyon communities. Funding may be used for programmatic cost including overhead, administration and salary cost. Please complete the budget template with your detailed program budget information and submit with the application.

UWAC overall seeks to prevent and alleviate poverty. UWAC will ensure community members have access to educational attainment, increasing post-secondary enrollment leading to a career path which will provide a living wage salary providing income stability. This is further promoted by ensuring community members have access to adequate health care and basic needs such as housing/shelter, food security, safety and crisis care.

United Way Amarillo & Canyon will track progress through output and outcome data each funded partner will be required to submit. This data will consist of: inputs>>activities>>>outputs>>outcomes>>impact

Ultimately measuring change in knowledge, attitude, behavior/status regarding the funding program’s goals.

If you should have any questions, please contact Adam Leathers at 806.376.6359 or adam@unitedwayama.org

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Part I – Agency Information

Today’s Date

Agency’s Name

Street Address

City

State

Zip Code

Mailing Address (if different)

Agency’s Phone Number

Agency’s Fax Number

Agency’s Website Address

Number of Employees

Agency Mission Statement

Primary Contact’s Information

Primary Contact’s First Name

Primary Contact’s Last Name

Primary Contacts Email Address

CEO’s/Executive Director Information

CEO/ED First Name

CEO/ED Last Name

CEO/ED Email Address

Part II – Program Information

Program Name

Primary Objective

Amount Requested

Give a brief narrative regarding your program description

Provide the program background – year started, accomplishments

Using the Community Status Report as a reference, describe the level of need in the community your program addresses and how your program creates change

Target Population

Current annual budget for this program

List other current funding sources and amounts for this program

Explain specifically how UWAC funding will be used

If the United Way of Amarillo & Canyon, is not able to fund your program, this allocations cycle, what are your plans?

Provide the number of unduplicated individuals served in the Amarillo & Canyon area

Estimated number of individuals on waiting list or not served due to limited resources

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

Part III – Outcomes Data

Desired Outcomes

Indicators

Previously Measured Outcomes

List any influencing factors affecting the outcome results

Download the UWAC Budget Template, complete the form and upload it below.

UWAC Budget Template (Please upload completed form)

Upload requirements

Any Additional Comments