United Way of Greater Fall River
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Application for Funding FY24

This application is for United Way of Greater Fall River Funding for FY24 (July 1, 2023 to June 30, 2024). Please be sure to read the United Way Impact Grant Handbook prior to beginning this form. Make sure you have all required documents in hand before beginning the application. If you Save and Continue this form, the form will send a link to your email. United Way can not access your form until it has been officially submitted. Please be sure to check your Spam, Junk, or Promotions folder for the Save and Continue Link. The form WILL NOT save documents attached if you choose to "Save and Continue."

Step 1 of 7

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Grant Exclusions

Does your funding request relate to(Required)
United Way of Greater Fall River does not fund any project relating to the choices below.

Agency Information

Physical Address(Required)
Is your mailing address different than your physical address?(Required)
Mailing Address
If different than physical address
Do you have a fiscal agent?(Required)
Fiscal Agent Address(Required)
Fiscal Agent Contact Name(Required)
Chief Professional Officer Name(Required)
Chief Volunteer Officer Name(Required)

Board Demographic Data

Staff Demographic Data

Date of prospective employee giving campaign for United Way of Greater Fall River
This is required for Allocation Grant Recipients

Program Information

For example: Providing childcare assistance for adults during job training program; equine therapy for children with mental or behavioral health diagnoses; summer camp for at-risk youth; etc. This should be a brief description of your program to be fleshed out in later questions.
Choose only one from the dropdown menu.
Geographic Area Served(Required)
Funding is only provided to agencies working in the communities listed here. Select all that apply.
Neighborhoods in Fall River served
If you know the neighborhood(s) in Fall River where your program participants live, please let us know. This is NOT a required question.
Include how many unique individuals the program will serve and what percentage of those individuals will be served with United Way funds.
Do you have a waitlist for this program?(Required)

Measuring Impact in Greater Fall River

Please break out short, mid, and long term goals. For example: 5 job seekers maintain employment for 6+ months after support; behavioral referrals by teachers are reduced by 30% after social emotional learning lessons with behavioral health staff; etc. We recognize that some programs have broad impact on a lot of individuals while some programs serve smaller numbers more deeply. Use this space to show how YOU measure impact in your specific program.
Do you collect disaggreate data?(Required)
Do you partner with other agencies for this data collection/analysis?(Required)

Resources Needed

No funding requests over $10,000 will be considered
Please enter a number from 0 to 10000.
Has United Way funded this program in the past?(Required)
Are there other funding sources for this program?(Required)
Please identify all additional funding sources and the relationship between these funds and those being requested. Please note specific criteria if additional funding requires a match.
Will you be collaborating with any other public or private organizations for this program?(Required)
Duration of time, number of meetings, etc. Please note that all programs must be run within FY23 (July 1, 2023 to June 30, 2024)
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Please use budget form provided on the Impact Grant homepage.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
If expired, a copy of Form PC Application-in-Progress will do.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Annual budgets under $100,000 may submit a Year End Financial Statement. Annual budgets over $100,000 must submit the most recent Annual Audit.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.
Accepted file types: pdf, Max. file size: 64 MB.

Counterterrorism Compliance

* In this form, “material support and resources” means currency or monetary instruments or financial securities, financial services, lodging, training, expert advice or assistance, safe houses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, except medicine or religious materials. In compliance with the spirit and intent of the USA PATRIOT Act and other counterterrorism laws, United Way of Greater Fall River requires that each agency (“Organization”) be in compliance with United Way of Greater Fall River and the United Way of America’s (“UWA”) compliance program by certifying the following:
This Organization is not on any federal terrorism “watch lists,” including the list in Executive Order 13224, the master list of specially designated nationals and blocked persons maintained by the Treasury Department, and the list of Foreign Terrorist Organizations maintained by the State Department*.(Required)
This Organization does not, will not and has not knowingly provided financial, technical, in-kind or other material support or resources* to any individual or entity that is a terrorist or terrorist organization, or that supports or funds terrorism.(Required)
This Organization does not, will not and has not knowingly provided or collected funds or provided material support or resources with the intention that such funds or material support or resources be used to carry out acts of terrorism.(Required)
This Organization does not, will not and has not knowingly provided financial or material support or resources to any entity that has knowingly concealed the source of funds used to carry out terrorism or to support Foreign Terrorist Organizations.(Required)
This Organization does not regrant to organizations, individuals, programs and/or projects outside of the United States of America with out compliance with IRS guidelines.(Required)
This Organization takes reasonable, affirmative steps to ensure that any funds or resources distributed or processed do not fund terrorism or terrorist organizations.(Required)
This Organization takes reasonable steps to certify against fraud with respect to the provision of financial, technical, in-kind or other material support or resources to terrorists and terrorist organizations.(Required)
Consent(Required)
I certify on behalf of the Organization listed above that the foregoing is true, and that all United Way funds and donations will be used in compliance with all applicable anti-terrorist financing and asset control laws, statutes and executive orders.
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