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  • 2021 RFP APPLICATION

  • CHECKLIST FOR SUBMITTING 2021 UNITED WAY MEMBERSHIP

    Please submit the following to United Way by February 19, 2021:
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  • UNITED WAY OF THE ADIRONDACK REGION, INC. AGENCY INFORMATION REQUEST FORM

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  • NATIONAL TAXONOMY OF EXEMPT ENTITIES

    (Needed for the State Employees Federated Appeal)

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  • CERTIFICATION

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  • OUTCOME REPORT FOR AGENCIES REQUESTING UNITED WAY MEMBERSHIP

  • Measurable Results (Outcomes):

  • In the field below, how did you measure the impact of the activities and services that have been supported by United Way funds?

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  • AGENCY BENEFICIARY STATISTICS-ENTIRE AGENCY OPERATION

    (All programs & services)

  • The data displayed below represents the number of individuals in Clinton, Essex & Franklin Counties as well as out of area that have taken advantage of the programs and services being provided by your agencies during 2020:

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  • AGENCY BENEFICIARY STATISTICS - PROGRAM SPECIFIC

    (Need one for each program requesting funds for.)
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  • RFP Agencies Requesting Targeted Impact Need Funding (Income, Education, Health)

    (Complete one form for each program seeking 2021 United Way Funding, up to three).

  • Measurable Results (Outcomes)

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  • RFP Agencies Requesting Targeted Impact Need Funding

    (Complete one form for each program seeking 2021 United Way Funding, up to three).

  • Measurable Results (Outcomes)

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  • RFP Agencies Requesting Targeted Impact Need Funding

    (Complete one form for each program seeking 2021 United Way Funding, up to three).

  • Measurable Results (Outcomes)

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  • RFP Agencies Requesting Targeted Impact Need Funding

    (Complete one form for each program seeking 2021 United Way Funding, up to three).

  • Measurable Results (Outcomes)

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  • Almost Finished!

  • If you would like to review your application before submitting this application, you may do so now by clicking the 'back' button below or use the "print form" to print a copy. Otherwise, plase click the button below to submit your application for review.

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