Funding Application 2026 | United Way of South Wood & Adams Counties

PART I - Agency Information

Agency Information

Agency's Name

Agency's Address

Address

City/Town

State/Province

ZIP/Postal Code

Mailing Address (If different)

Address

City/Town

State/Province

ZIP/Postal Code

Agency's Phone Number

Agency's Web Address

Agency Mission Statement

CEO Contact Information

CEO First Name

CEO Last Name

CEO E-Mail

CEO Phone

Board of Directors President / Chair

Board of Directors President / Chair First Name

Board of Directors President / Chair Last Name

Board of Directors President / Chair E-Mail Address

Board of Directors President / Chair Phone

What is your agency’s fiscal year? (From what month, to what month?)

Total agency operating budget last fiscal year

Total agency operating budget current fiscal year

Does your agency have an operating reserve?

Yes

If yes, what was the balance at the end of most recently completed fiscal year?

If yes, how many months does the reserve cover?

Does your agency have an endowment fund?

Yes

If yes, what was the balance at the end of most recently completed fiscal year?

Do you reinvest the interest earned or use the interest? (explain)