Request for Proposals Form FY22 Request for Proposals "*" indicates required fields Step 1 of 7 - Contact information 14% Program Specific InformationInformation provided in this section will detail how your program is SPECIFIC to Greater Fall River and the populations served here.Agency*Legal name Program or Project Title* United Way fights for the Health, Education & Financial Stability of all people in our community. Which pillar of focus does your program most embody? Select all that apply.* Health Education Financial Stability Select AllWhich IMPACT AREA describes your program/project's focus?*Please choose the ONE area that best describes your program's focus.1001- School readiness and access to high quality learning1002- Early grade reading and other educational supports1003- Middle grade success and transitions1004- High school graduation/dropout prevention1005- Post-secondary success (includes career and college access, preparation, and completion)1006- Out of school time (summer, after school, etc)1007- Reading, tutoring, and mentoring support1008- Youth development1009- Family engagement1010- Wrap around community supports1999- Another education-related program2001- Job/ workforce development and training2002- Income supports (screening and enrollment in public benefits)2004- Savings and asset building programs2005- Financial education, coaching, and service integration2006- VITA/tax assistance2007- Youth employment/financial support2008- Veteran employment/financial support2009- Access to affordable credit/credit repair2999- Other income/financial stability-related programs3001- Healthcare outreach and entrollment3002- Other access to healthcare (includes clinics and screenings)3003- Healthy beginnings (prenatal care, healthy birth weight, immunizations, etc)3004- Healthy eating and physical activity (increasing access to and awareness of nutrition and exercise)3006- Health education and public awareness3007- Mental and behavioral health services3008- Services for people with physical disabilities3009- Services for people with intellectual/ developmental disabilities3010- Substance use disorder services3011- Senior/elder support (includes caregiving)3012- Home healthcare/assistance3013- HIV/AIDS service3014- Family planning (includes pregnancy prevention)3999- All other health-related programs4001- Food banks, delivery services, and meal programs4002- Clothing and household furnishing service4003- Transportation services4004- Emergency shelter care for people experiencing homelessness4015- Housing (permanent, transitional, supportive, affordable, etc)4008- Child care4009- Disaster prevention and relief service4010- Domestic violence, sexual assault, or human trafficking4011- Legal aid and public defender service4012- Prisoner re-entry support4016- Emergency cash assistance (includes rental, utility assistance)4017- Foster care services4999- All other basic needs/crisis prevention5001- Volunteer engagement/volunteer center5002- 2-1-1- or other information and referral5003- Community collaboration, planning, backbone support5006- Diversity, inclusion, race, and equity5007- Social innovation5008- Advocacy/public policy engagement5999- All other community capacity buildingGeographic area served*Funding is ONLY provided to agencies working in one of the communities listed here. Assonet Fall River Little Compton Somerset Swansea Tiverton Westport Select AllHow does this program align with your organization's mission statement?*United Way of Greater Fall River fights for the Health, Education, and Financial Stability of each person in our community. How does this program align with United Way of Greater Fall River's mission?*What specific, unmet need in the community does this service/program address?*How have you determined this specific need?*Approximately how many unique individuals do you intend to serve with this program/service?*If appropriate, use other measures of effort: How many meals will you serve? How many visits completed? How many people trained? How many families impacted? Please make note if you are using a different measure than "individuals." How will you reach these groups and individuals to offer your service/program?*Does this program have a wait-list?* Yes No How many individuals, on average, are on your wait list?* What is the average length of time individuals remain on your wait list?* How will this funding expand your program offerings?* Save and Continue Later. DemographicsHow many individuals do you project you will serve in FY2022? Please enter 0 (zero) for populations you do not serve.Briefly describe your target population.*AgeYoung Children (0-9)* Pre-teens and teenagers (10-18)* Young Adults (19-29)* Adults (30-64)* Elderly (65+)* Race/EthnicityAsian, Hawaiian, or Pacific Islander* Black or African American* American Indian or Alaska Native* White/ Non-Latino* White/ Latino* Other* Gender and Sexual OrientationMale* Female* Nonbinary/third gender/other* LGBTQ+* Heterosexual* Other DemographicsVeterans* Low Income* Visually Impaired* Deaf/Hard of Hearing* Physically Disabled* Mentally or Cognitively Disabled* Save and Continue Later. MeasurableThis section will focus on measure and accountability.How will you determine the success of this program?*Describe the steps you have in place to revise or revisit the program/service if success is not being met during this grant cycle.*What evaluation process will you use to assess the results of this program/service?*How will you collect data throughout this program/project?*Please provide an IMPACT story about a consumer of your program.This story should be narrative in nature. It may be used for for marketing materials, social media, or in the application for grants and funding. Save and Continue Later. AttainableThis section will focus on the attainability of your project.Why is United Way funding vital to the success of this program?*Are there other funding sources for this program?* Yes No 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.*If funding sources require anonymity, please note that. Save and Continue Later. RelevantThis section will focus on the relevancy to the community and other projects already being done in Greater Fall River.Will you be collaborating with any other public or private organizations for this project/service?* Yes No Maybe What other organizations will you be working with for this project/service?*Please list the organization, a contact person, and their phone number.What makes this program/service unique as compared to what is delivered byother agencies?* Save and Continue Later. TimelyWhat is the timeline of events/services for this project/program?*Duration of time, number of meetings, etc. Save and Continue Later. SubmissionI agree to conduct the program/project as outlined in the application above.*Should modifications be required, United Way asks that notification be sent to LIVEUNITED@uwgfr.org outlining programmatic changes and revised outcomes. Failure to meet any of the requirements of funding will result in suspension of remaining payments, as well as possible disqualification from submitting future proposals for funding from United Way of Greater Fall River. Agree Accuracy*I attest that the information provided herein is as accurate as possible. Agree Signature of Chief Professional Office* Save and Continue Later.