2026 United Way of Eddy County Emerging Needs Grant Application

Section B. Request Summary
1. Funding Request Amount
2. Program/Project for which you are seeking funding
3. Type of emergency
Section C: Description of Grant Needed
Please provide a brief description of your emergency (when did this occur, what happened, and how does it impact operations):
How is this impacting your ability to serve clients and who do you serve? (population and number of clients):
What will happen if funding is not received?
Section D: Cost Summary
What is the total cost of repair/replacement:
If requesting partial payment, please list other funding sources:
Do you maintain an emergency reserve?
(Organizations are encouraged to maintain emergency reserves when possible)

IMPORTANT – PLEASE ATTACH ALL ESTIMATES, INVOICES, AND PICTURES RELATED TO THE REQUEST IF APPLICABLE. IF SUPPORTING DOCUMENTATION IS NOT INCLUDED YOUR GRANT REQUEST MAYBE DENIED.

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I am authorized to submit the 2026 United Way OF Eddy County Emerging Needs Grant Application: (Organization Director must sign application)
Organization Director Name and Title (please print/type)
Organization Director Signature
UNITED WAY OF CARLSBAD & SOUTH EDDY COUNTY ANTI-TERRORISM COMPLIANCE MEASURES

In compliance with the USA Patriot Actand other counter-terrorism laws, the United Way of Carlsbad & South EddyCounty requires that each agency certify the following: “I hereby certify on behalf of___________________________________________________________that all United Way funds and donationswill be used in compliance with all applicable anti-terrorist financing and asset control laws, statues and executive orders.”
Board President Name and Title (please print/type)
Anti-Terrorism Certification Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

UNITED WAY OF EDDY COUNTY EMERGING NEEDS GRANT