2025 United Way of the Adirondack Region, Inc. RFP Application

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2025 APPLICATION

IF YOU ARE NOT A CURRENT PARTNER AGENCY DO NOT FILL OUT THIS APPLCIATON. INSTEAD, PLEASE CONTACT OUR OFFICE TO FIND OUT MORE INFORMATION ABOUT BECOMING ONE.
CHECKLIST FOR SUBMITTING 2025 UNITED WAY MEMBERSHIP

Please submit the following to United Way by February 14, 2025:
Agency Name:*
Important: In order to complete this application, you must have your letter of official request for membership, your most recent agency audit & management letter, and annual report (including 990) ready to upload. Use the checklist below to begin this application.*
Please use the Browse Files button below to upload your Letter of Official Request for membership, your most recent agency audit, management letter and annual report (including 990).*

After you have selected your files for upload, please click 'Next' to continue to sections 2:2-2:5
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UNITED WAY OF THE ADIRONDACK REGION, INC. AGENCY INFORMATION REQUEST FORM
In order to maintain records in our office and get the necessary materials to you, we need to know some pertinent information. Please fill out the form below and return it to the United Way office by February 14, 2025.*
Agency Description (25 words or less):*

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CERTIFICATION
Current in Filing:*
Determination:*
Charitable Services:*
Annual Audit:*
Date of last completed audit and IRS Form 990 (if required by the IRS):*
Organization Fiscal Year ends at the end of:*
Non-Discrimination:*

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2025 COMMUNITY IMPACT GRANT APPLICATION

Complete this form ONLY if your agency would like to apply for our Community Impact Grant. Only one application per agency will be accepted.
Agency (Program) Name:
Need(s) to be Addressed:
Total Cost of Program:
Total Amount From All Other Sources of Program Revenue:
Total Grant Amount (if awarded)
Partial Funding will not be awarded - grants are either granted in full or not at all
Description of Program Activities/Services:
OUTCOME REPORT FOR AGENCIES APPLYING FOR COMMUNITY IMPACT GRANT

If you received funding in 2024 and are applying for a Community Impact Grant please fill out the following
Agency Name:
Amount Received from United Way in 2024:
Programs/Activities Supported by United Way Funds in 2024:
Brief Description of Agency Activities/Services Supported by United Way Funds in 2024:
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?
Be Specific; provide measurable indicators of success for each activity and service listed above. Please include comparisons from the prior year, current year, and proposed if the program has been funded previously.

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Your Name:
Your Job Title:
Your Email Address:
ACCESS TO UWADK FUNDS & RESOURCES

Positive Designations: These are donor designations to specified agencies, through both the UWADK Campaign and the State Employees Federated Appeal (SEFA). These designations are only avaialble to approved UWADK Partner Agencies, SEFA approved agencies or both, if applicable.

ALICE Funds: These funds are availble to UWADK Partner Agencies and other approved nonprofit agencies and are typically used on a case by case basis to help serve unmet needs for ALICE families by parterning to leverage resources. Uses are flexible and requests can typically by processed promptly.

Need Grants: These mini grants range from $500-$2500 and are typically used for start-up of new, innovative programs or other special unmet needs or circumstances/ These grants are open to UWADK Partner Agencies and other approved nonprofit organizations.

Community Impact Grants: These competitive grants will be made available only to UWADK Partner Agencies on an annual basis. Agencies will apply for these $10,000 grants during a specified window of opportunity and the number of grants made available will be determined by the funds that are available in the Community Impact Fund, at the conclusion of the campaign. Grants will be awarded based upon the quality of the proposal, prioritized needs in the region and the agnecy's ability to achieve the desired impact. Successful awards will be for the full amount and those not selected will still have access to other funds and resources. Partial funding will not be awarded in this category.
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.
Are you sure you're ready to submit your application?
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2025 APPLICATION

CHECKLIST FOR SUBMITTING 2025 UNITED WAY MEMBERSHIP

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UNITED WAY OF THE ADIRONDACK REGION, INC. AGENCY INFORMATION REQUEST FORM

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CERTIFICATION

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2025 COMMUNITY IMPACT GRANT APPLICATION

OUTCOME REPORT FOR AGENCIES APPLYING FOR COMMUNITY IMPACT GRANT

Measurable Results (Outcomes):

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