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Main menu
About Us
Our Staff
Our Board
Calendar of Events
History
Financials
Annual Reports
Strategic Plan
Donor Privacy Policy
United Way Careers
Contact Us
Non-discrimination Policies
Our Work
Healthy Community
Youth Opportunity
Financial Security
ALICE
Born Learning
Community Conversations
Imagination Library
LIFT Community Schools
Schools of Hope
United Horizons Board Training Program
VITA
Women United
Youth As Resources
211
Our Impact
Volunteer
Our Partners
Corporate Partners
Chairman's Club
Awards
Funding Opportunities
Impact Partners
Funding Process
Impact Partner Login
Leadership Giving
365 Small Business Circle
Run a Campaign
Campaign Toolkit
Leave Your Legacy
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LOI
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LOI
LOI
Eligibility confirmations
Does your organization serve residents of Racine County, WI?
No
Yes
Is your organization able to provide (upon request) detailed board-approved budgets and financial reports, including an audit or audited financial statements as required by State of Wisconsin Statute 202.12 (1)(b).
No
Yes
Has your organization been legally incorporated for at least six months?
No
Yes
Is your organization tax exempt as described in section 501(c)(3) of the Internal Revenue Code?
No
Yes
Is your organization governed by a board of directors?
No
Yes
Does your organization maintain a policy of non-discrimination and equal opportunity, and comply with the Americans with Disabilities Act?
No
Yes
Is able to attest to and maintain compliance with the USA PATRIOT Act.
Yes
No
All statements must be checked to be eligible.
Organization information
Organization legal name
Organization website (in URL format)
Include http:// in the webaddress.
Organization phone
Organization address
Address
Address 2
City/Town
State/Province
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
Organization executive director/president/CEO
Executive Director/CEO name
Title
Email
Phone
Primary contact for this LOI
Primary contact for this LOI
Title
Email
Phone
Organization (or fiscal agent) EIN
Fiscal agent
Does your organization have a fiscal agent?
No
Yes
Fiscal agent information
Fiscal agent organization legal name
Fiscal agent president/CEO
Fiscal agent CEO email
Fiscal agent phone
Fiscal agent address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
Program information
Name of the program
Anticipated number served by program within the funding year of July 1, 2027-June 30, 2028.
Has this program been funded by UWRC in any way with in the last 2 years?
No
Yes
Our program aligns with
Youth Opportunity: Racine County youth realize their full potential.
Healthy Community: Racine County residents are mentally and physically healthy.
Financial Security: Racine County residents are financially stable and help create a stronger community.
Review the Community Impact Agenda and select the Youth Opportunities, Healthy Community, and/or Financial Security statements and indicators that align with your program.
Based on the UWRC Community impact agenda, how does this program align with UWRC’s funding priorities (300 words)
Provide a descriptive summary of your program services and the program activities provided. (200 words)
Provide a brief summary of the program’s history and recent impact, including number served and outcomes achieved (200 words)
Anticipated request
$
Program budget
$
Organization budget
$
Today's date
I certify that the information submitted in this application is true and correct to the best of my knowledge.
Name and Title:
Leave this field blank
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