Hwy 55 Grant Application

2024 Funding Application

Your Local United Way serving Coffee, Moore, and Warren Counties
Your local United Way serving Coffee, Moore, and Warren counties is excited to announce our funding opportunity for 2024-2025.

Proposals for this one-year grant will be accepted beginning on April 1, 2024 and ending on May 1 at 11:59 pm cst. Please complete a separate application for each program for which you are applying. Please note that completion of this form does not guarantee funding.

Eligibility Guidelines
- Non-profit organization serving Coffee, Moore, and/or Warren counties
- Non-profit organization with 501(c)(3) status or IRS equivalent to nonprofit status
- Must have one full year of operation before requesting United Way funding
- New or existing programs that align with one of the funding priorities - Education, Health, Welfare, or Human Services
Questions? Contact Ashley Abraham at Director@Highway55UnitedWay.org or 931.455.5678.

Section 1: Agency Information
Please complete the information for the Agency.*
Agency Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency Mailing Address (if different)

Mailing Address

Mailing Address Line 2

CityState / Province

Postal / Zip Code
Contact Person for this proposal:*
Executive Director*
United Way utilizes Giving Matters profiles to review documents and information for nonprofit grant applicants. If you do not have an up-to-date Giving Matters profile, we encourage you to create one. For help updating or setting up a Giving Matters profile, click here. Alternatively, you can upload the following documents below:
- 501(c)(3) verification
- Annual Audit
- 990 Form
- State Charitable Sollicitation Letter
- List of Board of Directors members
If you have an updated Giving Matters profile, you do not need to upload these documents.
Is your agency's Giving Matters profile current at the time of submission of this proposal?*

YesNo
Please paste a link to your Giving Matters profile.*
Upload the following documents: 501(c)(3) verification, annual audit, 990 form, State Charitable Solicitation Letter, list of Board of Directors members.

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An updated 211 profile is required at the time of submission. For help updating or settting up a 211 profile, click here.
Please paste a link to your 211 profile.*
Please provide your Agency Mission Statement.

Section 2: Program Information and Description
Please describe the program for which you are requesting funding by answering the following questions. If you are completing the application for your agency, please answer the questions with regard to your agency. If you are completing the application for a specific program, please answer the questions with regard to the program.
Title of this Proposal (Program or Service Name)*
Please provide a brief description of the program or services provided in Coffee, Moore, and/or Warren counties. *

0/50
Provide a detailed description of the program. What are the program activities? What is the plan for implementation or continuation?*

0/250
Describe how your mission serves one or more of the four pillars we support in the community - Education, Income, Health, and Basic Essentials.

0/250
Describe the procedures in place for measuring the results achieved by your agency/program.*

0/250
Please provide a description of the volunteer needs and opportunities your agency may have. Include the volunteer opportunity, number of volunteers needed, and the date of the activity.*

0/250
Please provide a success story of a client from this program or agency. Please note that this information may be used in public mediums and print materials, so please change any names or identifying information.*

0/250

Section 3: Budget & Demographic Information
Amount Requested
What percent of your local program budget is your allocation request?
Please provide the budget for the program or agency. You may download and utilize the Program Budget template to complete and upload or upload the agency budget you currently utilize.
Upload Program or Agency Budget *

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Based on the proposed budget, please explain specifically how the requested amount would be spent.*

0/250
How many individuals will this program serve?
Please download the Demographics Template, complete the spreadsheet with the projected demographics, and then upload the completed spreadsheet.
Upload Demographics Template*

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Final Agreements and Submission
Please download the Patriot Act Form and upload the completed form.
Upload Patriot Act*

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An agency applying for support from United Way of Highway 55's Allocation Program agrees to:
1. Submit all application materials by May 1, 2024
2. Send a representative to a 20-minute Allocation Committee meeting that will be scheduled for end of May. Specific dates/times provided by Ashley Abraham.
An agency supported by United Way of Hwy 55's Allocation Program agrees to:
1. Use allocated funds to serve residents of Coffee, Moore, and/or Warren counties.
2. Use allocated funds as described in the application and allocation committee meeting.
3. Submit Quarterly Agency Reports and a year-end Final Report.
4. When able, attend United Way promotional and fundraising events.
5. Be available to participate in a newspaper photo announcing the 2024-2025 partner agencies.
Suspension of Funds Agreement

According to the United Way of Highway 55’s By-Laws Section 12.3 Suspension or Discontinuance of Funds, the Executive Director, with the approval of the Allocations Committee, may suspend payment of all or portion of the funds allocated to a recipient agency or organization, if the Allocations Committee determines that the agency or organization has failed or is failing to abide by the current board-approved requirements and criteria for allocations. The Executive Director may restore the allocated funds when the Allocation Committee is satisfied that the agency or organization is in substantial compliance with the requirements and criteria for allocations procedures. Any actions taken by the Executive Director shall be submitted to the Board of Directors for approval and ratification at the earliest scheduled meeting.

When it has been demonstrated to the Board of Directors’ satisfaction that funds have been misappropriated or misused or are about to be misappropriated, the Board of Directors may immediately discontinue the allocated funds to any agency or organization.

By signing and submittting this form, the applicant agrees to uplold the commitments listed above.
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2024 Funding Application