2018 TRI-CITY AREA UNITED WAY

AGENCY QUARTERLY REPORTING FORM

1stQuarter - January, February, March

2ndQuarter - April, May, June

3rdQuarter - July, August, September

4thQuarter - October, November, December

REPORTS ARE DUE IN THE UNITED WAY OFFICE BY 1 WEEK AFTER THE LAST DAY OF THE QUARTER.

(Agencies must have this report returned before their next quarter’s allocation is issued.)

Agency: ______Program: ______

Person Completing Report: ______Position: ______

Phone Number: ______Email: ______

  1. Please share a human-interest story.

______

______

______

2. Number of persons or families participating during the past three months, separated by location: please include the following statistics: How many females/males and include the different age groups your agency served:

____Marinette County ____Menominee County ____Oconto County ____Other ____% at risk

COUNTY / CITY / FEMALES / MALES / BIRTH TO five / Ages 6-12 / Ages 13-18 / Ages 19-24 / Ages 25-59 / 60 and over
  1. For each quarter only, please define what your program considers to be “at risk” participants

______

______

______

4. General program activities during the past 3 months

______

______

______

______

  1. List any fundraising activities that will be conducted by your agency in the next quarter.

Include the name of fundraiser, location, date, time, who to contact, and the cost for attending.

______

______

______

  1. List how volunteers needed, how many hours, dates, time and type of work

______

______

______

6. Additional comments:

______

______

______

7. Please send any changes needed to update the 2-1-1 System. TCAUW is in charge of all the resourcesfor the counties of Marinette and Oconto, WI and Menominee, MI. We needto periodically updatethe 2-1-1 system and need to make sure we have accurate information. Even if there are no corrections or additions please send an email to to verify that.

THANK YOU!

Send to: Tri-City Area United Way

PO Box 1143

Marinette, WI 54143

Fax: (715) 735-7589

Phone: (715) 735-7785

E-mail:

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