Mid-term Agency Report
July 1, 2024-June 30, 2025
Agency Name
Agency Contact
First Name
Last Name
Agency Contact II - Optional (enter email in second email field below)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Email
example@example.com
Phone Number
Please enter a valid phone number.
Amount of Grant Award
Provide a short summary of the program/project.
Describe both the successes and challenges of implementing the program/project.
Provide impact stories or anecdotes related to this funding that United Way can share in communications.
Please list any outputs of funding received. (examples: total number served, hours of service, purchases made, etc...)
What percentage is United Way Funding of your overall operating budget?
Is your agency still practicing Diversity, Equity, and Inclusion (DEI) policies? Yes or no or elaborate on your efforts.
Please upload your 2023 or 2024 financial statements if not readily available on your website.
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