2025 Grant Application | United Way of Northeast Arkansas

GRANT REMINDERS

Applications are due by midnight on April 19th, 2024. Absolutely no late applications will be accepted. Completed applications should be submitted electronically on this form OR e-mailed to: heather.coats@local.unitedway.org.

To learn more about the submitted application, the selection committee reserves the opportunity to invite applicants to make a presentation to accompany their application or be available by phone for questions. More information to follow.

SUPPORTING DOCUMENTS REQUIRED:

Please provide one copy of each of the following. If any of the following are not completed or included, the committee reserves the right to deny acceptance of the application. These items should be scanned & e-mailed to heather.coats@local.unitedway.org or submitted to the United Way Office prior to midnight on April 19th, 2024.

Current audit with copy of management letter and IRS form 990. All documentation should be for the same year (Tax year end date should be the same year end date as the audit). If no audit is conducted, please provide highest level of externally prepared financial statement with balance sheet.
Articles of incorporation
IRS tax exemption letter showing 501(c)3 status.
Current board member list (if different from shown on IRS 990)
12-month budget for specific program being submitted
Supplemental information as needed.

ORGANIZATION INFORMATION

Name of organization applying for funding

Program physical address (where our team would complete a site visit)

Address

City/Town

State/Province

ZIP/Postal Code

Mailing Address

Address

City/Town

State/Province

ZIP/Postal Code

Name of Executive Director

Executive Director Email Address

What is your organizational mission statement?

Amount requesting from United Way of NEA (UWNEA)

Total program cost for which funding is requested

What is the percentage of the UWNEA funding requested from the total program budget? Example: UWNEA funding is ___________% of our total programmatic budget.

501(c)3 #

Program Name

Program Director Name

Program Director Email Address

Program Director Phone Number

Current number of Board members

Number of official board meetings held within the last 12 months

Did you have at least 50% attendance at each board meeting during the last 12 months?

Yes

AGREEMENTS

We agree to participate with Day of Caring (if applicable in your community)

Yes

We agree to attend quarterly director meetings with other funded programs

Yes

We agree to help with fundraising activities, if asked

Yes

We agree to site visits as needed by UWNEA and their volunteers

Yes

We agree to be available to make a presentation to accompany the application if requested

Yes

PROGRAM INFORMATION

United Way of Northeast Arkansas funds programs at organizations with experience in education, financial stability and health working to reduce the cycle of poverty. Many of these programs assist clients who are "ALICE", the acronym for Asset Limited Income Constrained Employed.

ALICE represents the growing number of households that do not earn enough to afford basic necessities. The ALICE Report brings emphasis to households with income above the Federal Poverty Level but below the basic cost of living. A household consists of all people occupying a housing unit. The report provides research-based information of who is struggling within our communities.

The survival budget for Arkansas for a single adult is $18,240 and $46,812 for a household of 4, per this report. Households qualifying as ALICE or living in poverty within our coverage area range from a low of 33% for Craighead to a high of 52% for Jackson.

For more information, visit: unitedforalice.org

Give a brief overview of the program in which you are requesting funding

In regards to your PROGRAM, not organizational please choose the United Way pillar it falls under:

Health

Education and Youth Success

Financial Stability

Other…

Describe how your program meets the United Way’s funding pillar chosen above

What is a specific need addressed by this program?

How was the need identified within the community and what data sources verified it? Please answer this with current data and the source of the data.

Statement of Impact: Provide Impact Statement on how UWNEA funding will help your clients. Example: $20 a month provided a low-income child with 6 weeks of counseling, etc.

What specifically will UWNEA funding be used for? Please attach a budget showing how UWNEA funding will be used within the 12-month funding cycle. (#5 supporting documents)

Please provide an explanation of how your program impacts those in the community in the areas of education, financial stability or health.

What will UWNEA funding allow you to do that otherwise could not be done? Why is this important?

Is this program sustainable? If yes, give a brief overview of your long-term plan.

Will the funds provided by UWNEA be matched by another agency, program or foundation?

How do you collaborate with other entities to provide these services?

Identify measurements that will be used to determine outcomes. What is the expected measurable impact of the project?

Describe how data will be collected for outcome measurement.

Does this program have any confirmed partners (organizations, entities or individuals who have already committed to assisting with the program) or potential partners (those approached but noT yet confirmed)? If so, please list below:

How many of the program population served do you project will be in the ALICE population? If you have completed this program in the past, how many served in the ALICE population?

How many clients do you project will be served by this program from Jan 2025 – Dec 2025?

PROGRAM BUDGET

Please complete your budget for 12 months for the program you are submitting for funding.

INCOME

Income for only the PROGRAM submitting for funding:

Grant funding from United Way of NEA

Grant funding from sources other than UWNEA

Please list other grant sources for this program

Fundraisers

Contributions

Program service fees

In-kind contributions

Please provide a list of any additional sources of funding

Total income (total $ amount – all of the above added)

EXPENSES

Expenses for only the program submitted for funding

Salaries for the program

Employee benefits & payroll taxes for the program

Supply expenses for the program

Telephone expenses for the program

Postage expenses for the program

Printing & publication expenses for the program

Travel expenses for the program

Training & development expenses for the program

Other expenses for the program

Please provide a list of the Other Expenses making up the $ amount listed.

Total expenses for the program (total $ amount of all expenses above)

Excess (Deficit) Difference between Total Income & Total Expenses

Do you have any pending legal proceedings? If so, please provide the details as a supplement if needed.

How do you plan to continue the program if United Way of Northeast Arkansas funds are limited or are not available?

DEMOGRAPHICS

Please provide the following UNDUPLICATED population you served in your organization from January
2023-December 2023. If the program you are applying for was completed in 2023, please provide that data as well.
Example: Total Organizational Clients Served by Happyville After School Center for 2023: 2,100
Total Tutoring Program for Happyville Afterschool Center for 2023: 35

How many total clients were served by this program in 2023?

# of females (18+)

# of Males (18+)

# of Females (0-18)

# of Males (0-18)

Race/Ethnicity served by this program:

American Indian/Alaskan Native

Black or African American

Native Hawaiian/Other Pacific Islander

White/Caucasian

Hispanic or Latino

Other ethnicities not listed above

Explain how your agency works to ensure diversity among your clients, seeks equitable outcomes for your clients, and is fully inclusive in your service delivery.

APPLICATION SIGNATURES

By entering the following names to this document, you are agreeing these individuals have personally reviewed and approved the application. Your organization is responsible for ensuring the program is followed as submitted and agrees to semi-annual site visits or outcome progress reports. It is further agreed that the organization will not have fundraising campaigns or solicitations that include payroll deductions.

Program Director:

501(c)3 Director:

Board President

Number of Full-Time Employees for Full Organization

Number of Part-Time Employees for Full Organization

Number of Volunteers

Is your program currently funded by United Way of NEA for the January 2024 – December 2024 funding year?

Yes