2016United Way of Pueblo County
COMMUNITY IMPACT GRANT
APPLICATION
United Way of PuebloCounty
P.O. Box 11566, Pueblo, CO 81001
310 E. Abriendo Ave, Suite 300, Pueblo, CO 81004 (SSFCU building)
719-225-8580
Mission Statement:
To develop donor resources to enhance the quality of life
for the people of PuebloCounty.
United Way of Pueblo County will award matching project grant(s) to nonprofit organizations in Pueblo County. Programs that qualify should address a pressing unmet human service need in Pueblo County, not currently funded by United Way dollars. Both current United Way partner agencies and non-United Way partner agencies may apply. Please carefully review the guidelines and requirements. If you have any questions, please do not hesitate to contact us at 719-225-8580.
Community Impact Grant Guidelines
Grant(s) are intended as special program grants that help to launch a new program or venture, or that will substantially strengthen an existing programnot currently funded by United Way. Grant(s) will be awarded to the program that can demonstrate a significant, measurable impact in our community.Grants will require a dollar for dollar cash or in-kind match. In-kind can be no more than 25% of the match.
Who May Apply:Non-profit organizations in good standing in Pueblo County with a
501(c)3 designation.
If you have received this grant in the past, you must wait three years until applying again for the same program.
Appropriate Projects: Projects consistent with United Way's mission and supporting
initiatives that are aimed at producing measurable improvement for anunmet need in Pueblo County.
Only one program per agency will be funded.
United Way will fund no more than 50% of the proposed program costs.
UW funds may not be used for administration or fundraising dollars.
The following will not be funded: Proposals to fund established programs already funded with United Way dollars, athletic teams or events, school activities for which school credit is earned, proposals to fund prior year deficits and projects directed by for-profit organizations.
Strategic Collaborations:United Way looks favorably upon strong strategic collaborations between nonprofit organizations.A strategic collaboration is a mutually beneficial and well defined relationship between two or more organizations to achieve a common goal. Strategic collaboration is more than providing referrals to other programs. A strong preference will be given to those programsthat can demonstrateactive and strong collaborative partnerships to achieve program goals.If granted funds, applicants will be required to outline roles and responsibilities of collaborating organizations in detail.
Matching Contribution:If awarded, the community impact grant will require a dollar for dollar cash or in-kind match (no more than 25% of total match may be in-kind). Documentation of the match is required. If organizations are unable to secure matching funds upon completion of the program, impact funds must be returned to United Way.
Application Deadline: May 11 by 12 noon, no exceptions will be made.
Finalists will be interviewed as part of the decision making process.
Amount of Awards: Range of $10,000 to $30,000
Award Date: June 30, 2016(approximately)
Grant Funding
Period:Grants are intended as a one-time special project grant(s). If you have received this funding before, you must wait three years before reapplying for the same program.
Grant Monitoring:Periodic & Final Reports
If awarded funds, organizations will be required to submit periodic financial and narrative summary reports, as well as a final report upon completion of the grant funds. A periodic and final report form will be provided upon grant approval. The report will include:
- A written report that should address progress on outcomes listed in the proposal.
- Financial report detailing how grant money is/was being used.
- An oral report to United Way Board of Trustees at a future time to be determined
2016COMMUNITY IMPACT GRANT APPLICATION PROCEDURES
A complete application includes ONE unbound copy with a 3 hole punchthat contains the following: **Please do not staple, place in folders, binders, plastic covers, etc.
Cover Sheet
Use the attached cover sheet
Proposal:
Your concise proposal must contain the following information clearly identified with headings:
- Brief history and explanation of mission of organization
- Project/Program Description
- Human service need in Pueblo County being addressed
- Specific target population and estimate of number of lives affected
- Expected goals AND outcomes of program
- Evaluation procedure description (method for measuring expected outcomes)
- Future funding sources for project/program
- Implementation schedule for the project (specific dates)
- List sources for matching funds. No more than 25% of the total matching funds may be in-kind contributions.
- Explain your plan to actively collaborate with another organization to achieve this program’s goals and objectives.
- Explain in detail your plan to sustain support for this program once United Way funds have been expended.
- Would this program be implemented if funds are not granted or funded at an amount lower than requested and if so, at what level?
- Plan for acknowledging United Way as a funding source.
- Describe your top three organizational ACCOMPLISHMENTS over the last twelve (12) months.
- What are the top three CHALLENGES has your organization faced over the last twelve (12) months? What have you learned from these challenges?
- Please answer the following questions regarding your operating reserves.
a)Dollar amount of operational reserves: $ ______
b)Difference in operational reserves from previous 12 months (+ or -): $ ______
c)Operational reserves are ______% of total agency budget
d)Operational reserves will support ______months of operation
e)Your ideal amount of operation reserves: $ ______
f)If you have operational reserves and have used it in the last year, please explain why/what you used it for.
g)What is your board’s policy regarding use of operation reserves?
h)Please indicate if any portion of your operating reserves are restricted, and briefly explain those restrictions.
- Complete the sources of income table below for the organization as a whole, based on the most recently completed fiscal year.
SOURCES OF INCOME TABLE
Percentage Funding Source
____% Government grants (federal, state, county, local)
____% Government contracts
____% Foundations
____% Business/Corporate Contributions
____% Special Events (include event sponsorships)
____% Individual contributions
____% Fees for service
____% United Way
____% Other ______
____% Total (must equal 100%)
ALSO REQUIRED:
Program Budget
Current Board Approved Organization Budget
Verification of IRS 501(c)3 status. *Letter must be dated in the last five years.
- Most recent audited financial statementWITH management letter ANDIRS 990 (years for audit & 990 should match). If the organizational total revenue & expenses are less than $25,000 per year, only a 990 is required.
Current List of Board of Directors
- Proof of Directors, Officers & Liability Insurance
- If you have received a community impact grant award in the past, you must include the full final/summary report for that grant award, if applicable.
United Way of Pueblo County
2016Community Impact Grant Application Cover Sheet
Date of Application: ______
Name of Organization: ______
Mailing Address: ______
Contact Person, Title: ______
Phone Number: ______Fax: ______
Email: ______
Program/Project Title: ______
Dollar Amount Requested: ______
Program/Project Dates: ______
Total Project Budget: ______
Annual Agency Operating Budget: ______
Total number of Lives Affected: ______
Summarize your request in 30 words or less: ______
______
______
Other Sources of Revenue for the Program/Project
(Please list confirmed and pending sources, use attachment if necessary)
______
______
______
Contact Person signature print nameDate
______
Chief Professional Officer signature print nameDate
______
Board Chairman/Presidentsignature print nameDate