United Way fights for the health, education and financial stability of every person in every community.
Join the Fight
2023-24 RFP Process Survey
Butler County United Way Request for Funding Survey
Is your agency 501(c)3 designated?
Yes
No
We do not accept requests for funding from agencies without a 501(c)3 certification.
*
Legal Name of Organization:
*
Agency Address:
*
Employer Identification Number (EIN#):
Are you located in Butler County and/or provide a program that serves Butler County?
Yes
No
*
What is your program name?
Is this a single program or collaborative?
Program (Your agency is the only provider)
Collaborative (Your agency is partnering with other agencies to provide programming)
*
Butler County United Way is program-focused to see measured impact and evidence of a successful program. Do you offer a program that is focused on education (ex. early childhood literacy, after school program, prevention, etc.), health (ex. counseling, medical, rehabilitation, etc.) and/or financial stability (utility assistance, housing assistance, food insecurity, etc.)?
Yes
No
N/A
*
Please explain:
*
Do you seek funding support from other sustainable resources in order to ensure a successful program?
*
Name of Executive Director:
*
Executive Director Phone Number:
*
Executive Director Email Address:
*
Name of person completing this survey:
*
Contact Phone Number:
*
Contact Email Address:
Items marked with an asterisk(*) are required
Verification Code
Enter code
Submit
Session Timeout
×
Session will timeout in
