United Way of Tulare County
Affiliate Application 2025
Thank you for applying for Affiliate status with United Way of Tulare County
The UW affiliate application is due online on November 1, 2024 at 3 pm
Save, Save, Save and then Submit
All questions require an answer or the application will not submit. Please hit save throughout the process. There is a feature to save and email to continue or saving the link to your application. Saving the link works best. You can save without creating an account (look for the skip creating account if you choose). Please make sure to save your link or email to get back into your application. UWTC staff will not have access until you hit Submit.
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Organization Name
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Website
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Brief history of your organization. (150 word max)
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0/150
Provide your organization’s mission statement and brief overview of the services provided and to whom. (150 word max)
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0/150
What is your organization's total annual budget?
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What percentage of funding makes up your Annual Organization budget?
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Is your organization required to be licensed and or certified?
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Yes
No
Other
If so, is it current?
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How will becoming an affiliate of United Way of Tulare County advance the mission and strategic objectives of your organization? (500 word max)
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0/500
How does your organization positively impact community resilience?
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0/500
Is your organization currently listed in our 211 database system as a resource?
Yes
No and we do not want to be.
No, but we would like to be.
Explain how your organization currently collaborates with other community stakeholders and non-profits (please include organization names). (500 word max)
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0/500
Standards of Excellence & Document Upload
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Standards Of Excellence
Please complete the standards below.
1. Mission and Vision
The organization has a clearly stated mission, and a clear, compelling vision approved by the board, in pursuit of improving the lives of the people it serves.
The organization has a written mission statement and it is reviewed and approved by the board.
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Yes
No
Date last affirmed
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Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Mission and Vision
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2. Administration
The organization delivers high-quality operational support of its business, supporting human resources administration, finance, and information technology.
The organization carries adequate liability insurance that includes dishonesty/fidelity bond and Directors/Officers that protects the organization’s assets.
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Yes
No
Date policy last reviewed:
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Reviewed by whom:
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Quarterly and annual Federal and State payroll filing are current.
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Yes
No
The organization has security safeguards in place to protect the privacy of files and records.
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Yes
No
The organization has a comprehensive written business continuity plan to ensure appropriate and timely internal actions following major crises, disasters or loss of key staff.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Administration
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3. Human Resources
The organization has a written policy that includes affirmatively equal opportunity to all qualified employees and applicants for employment without regard to any individual’s sex, race, color, ancestry, citizenship status, religious creed, national origin, sexual orientation, physical disability (including HIV and AIDS), mental disability, medical condition (cancer), age, gender, marital status, registered domestic partner status, status as a special disabled or Vietnam-era Veteran or the need for family care leave.
The organization has an up-to-date HR policies and procedures manual which is provided and signed by all employees to acknowledge receipt and kept in each employee file.
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Yes
No
Date policy last reviewed:
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Reviewed by whom:
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The organization has a policy requiring background checks and fingerprinting of all potential employees and volunteers working with children and youth.
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Yes
No
The organization maintains current job descriptions for all staff and employee records are current. (ie W-4 and I-9)
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Yes
No
The organization provides employees on-going opportunities for professional development through activities such as: attending workshops, specialized training, coaching, etc.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Human Resources
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4. Diversity
The organization adheres to a policy that ensures volunteers and staff reflects the diversity of the community it serves.
The organization has a written diversity statement/policy.
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Yes
No
Date policy last reviewed:
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Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Diversity
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5. Governance
A board of directors that is effective in setting direction for the organization, ensuring necessary resources and providingoversight of programs, finances, legal compliance, and values.
The organization has a written process for board recruitment and training. Board members are provided a written job description that clearly outlines general and legal responsibilities. Orientation for new board members includes personal, legal, and ethical responsibilities in the governance of this organization. The organization has a written process for board recruitment and training. Board members annually verify in writing that they have reviewed the organization’s Code of Ethics and Conflict of Interest Policy.
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Yes
No
The board includes at least two members with strong financial and accounting experience (understanding of balance sheets, profit and loss statement, etc…).
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Yes
No
The board meets at least quarterly and approves the organization’s operating budget, annual audit, and IRS form 990. Board packets are distributed at least 3 days in advance of meetings and include at least an agenda, minutes, and financial statements.
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Yes
No
Board members make annual financial contributions to the organization and/or actively participate in organization’s fundraising activities.
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Yes
No
Board members periodically rotate off the board.
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Yes
No
If so, what are your current Board Term Limits?
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How long must the member remain off of the board before being able to return?
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Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Governance
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6. Planning
The organization establishes short and long-term goals and identifies strategies to accomplish them.
A written strategic plan is in place creating the future of the organization, including measurable objectives, strategies, timeline and accountables.
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Yes
No
Reports are prepared during the year measuring progress toward objectives, explanations for variances, and changes in course as a result of lessons learned.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Planning.
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7. Financial Practices
In order to maintain the public’s trust, the organization has written policies and procedures in place to ensure strong financial management, compliance with legal and regulatory requirements, and internal controls over all of the organization’s resources that help further its mission.
The organization has written accounting / financial policies and procedures that are followed.
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Yes
No
Date policy last reviewed:
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Reviewed by whom:
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The organization has an active Finance Committee that meets at least quarterly.
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Yes
No
Other
The organization has written board approved, sound and prudent investment policies and financial practices.
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Yes
No
Date policy last reviewed:
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Reviewed by whom:
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The organization maintains an independent Audit Committee. (if gross revenues = $2 million or more)
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Yes
No
N/A
Financial statements are prepared on a timely basis and reviewed with the board by a member of the Finance Committee at least quarterly. Financial statements include a balance sheet, profit and loss statement of income and expenses, and budgeted income and expenses, as well as year-to-date totals as compared with budget. Variances in budget to actual are explained in writing to the Finance Committee and the board by the C.E.O/C.F.O.
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Yes
No
Staff, board members, and volunteers who handle cash or investments are bonded to safeguard those assets.
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Yes
No
The organization has a written policy identifying authorized check signers and the number of signatures required on checks in excess of specified dollar amounts. All expenses of the organization are approved by a designated person before payment is made.
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Yes
No
The board of directors, or an appropriate committee, solicits bids, interviews auditors, and hires an auditor to audit the organization’s books.
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Yes
No
An annual audit is conducted, for organizations with annual budgets of $250,000.00 or more, by an independent Certified Public Accountant whose examination complies with generally accepted auditing standards and Generally Accepted Accounting Principles (GAAP).
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Yes
No
N/A due to budget size
An annual review is conducted, for organizations with annual budgets of $250,000.00 or less, by an independent Certified Public Accountant whose examination complies with generally accepted review standards and Generally Accepted Accounting Principles (GAAP).
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Yes
No
N/A due to budget size
The audit or review and the IRS Form 990 are presented to the full board by the independent Certified Public Accountant for adoption. The board monitors compliance with findings described in the management letter, if one is issued.
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Yes
No
Government contracts, purchase of service agreements, and grant agreements are in writing and are reviewed by a staff member and a board officer / committee of the organization to monitor compliance with all stated conditions.
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Yes
No
The organization has established a reserve of funds to cover at least three months of operating expenses.
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Yes
No
The organization prepares and distributes (printed copies or electronic format posted on organization’s website) to donors, community, and other stakeholders, an Annual Report which includes program accomplishments and audited financial statements.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Financial Practices.
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8. Internal Controls
The organization properly ensures the accuracy of financial statements, safeguards assets and maintains an appropriate separation of duties for all financial transactions and functions by maintaining effective internal controls.
The organization maintains a set of written internal controls, including the handling of cash and deposits, approval over spending, and disbursements, petty cash, spending authority/limits, ordering of supplies, authorized check signatures, and other financial transactions. These policies and procedures are reviewed by the finance/audit committee
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Yes
No
Date policy last reviewed:
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Reviewed by whom:
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Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Internal Controls.
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9. Public Reporting and Transparency
The organization is open and candid about its activities and operations. It provides public access to documents appropriate to ensure transparency in governance, finances, and ethical matters.
The organization adheres to a written code of ethics for volunteers and staff which include provisions for ethical management, publicity, fundraising practices, and full and fair disclosure.
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Yes
No
Date policy last reviewed:
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Reviewed by whom:
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The organization has a written Conflict of Interest Policy which is adhered to by staff, board, and other volunteers. The organization promotes a culture of ethical behavior at all levels and encourages employees and volunteers to communicate any known or suspected wrongdoing to the appropriate person.
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Yes
No
The organization provides public access to documents about its activities and operations such as the IRS Form 990, audited financial statements, and annual report.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Public Reporting and Transparency.
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10. Legal
The organization complies with all applicable legal, local, state, and federal operating and reporting requirements.
The organization promotes itself as an equal opportunity employer, has access to legal counsel
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Yes
No
The organization has and adheres to a written policy to protect whistle-blowers from retaliation.
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Yes
No
The organization has and adheres to a written policy to prevent individuals from tampering with or destroying records so as to impede an official proceeding.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Legal.
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11. Facilities
The organization provides a safe, welcoming physical environment that is accessible, practical, recognizable, and expressive of the organization’s mission.
Facilities are adequate for staff and program needs and meet local, state, and federal safety standards as applicable. The organization provides a safe work environment through the creation and implementation of a building security plan, procedures and protocols, and a physical structure that is up to code, including compliance with the Americans with Disabilities Act (ADA), Occupational Safety and Health Administration (OSHA) regulations and other applicable laws and regulations.
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Yes
No
The organization maintains a healthy and productive workplace by providing job- appropriate workspace and equipment designed to enhance productivity.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Facilities.
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12. Technology
The organization provides a reliable IT environment that includes infrastructure, training, maintenance and support: leverages leading –edge applications and architecture to support open access, integrated solutions and a high degree of security.
The organization has a written technology plan guiding what IT systems to have in place and has adopted policies that guide staff and volunteers on appropriate use of equipment, internet and social media.
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Yes
No
Please review the Standard of Excellence and list indicators that are not in place, or that need improvement on Technology.
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Please upload your 501 (c) 3 documentation
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Please upload your most recent Annual Report.
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Please upload your most recent Audit/ Review (subject to budget)
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Please upload your most recent 990 or proof of submission of the online 990 report
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Funding Application: In order to qualify for funding the Affiliate Application must be reviewed. If approved, your organization will be invited to apply for funds.
Board Member Roster (Click on each area and add as needed)
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Board President & CEO/ED Signatures
CEO/Executive Name
First Name
Last Name
Board President
First Name
Last Name
Board President & CEO/Exec Signature Page
Upload your Board President and CEO/Executive Signature page here.
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Board and CEO Signature Page (Print, sign and upload)
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