Application and Allocation Request Form - United Way of The Columbia Gorge

Allocation Request Form

Please fill out the following…

(If you have issues filling out this form, please contact us instead)

Organization Name

Contact Person & Oral Presenter(s) Names

Organization Website

Organization Email Contact

Contact Phone Number

Organization Mailing Address

What community needs is your organization meeting? Please select all that apply (hold CTRL to make multiple selections).

What counties does your organization serve?

What is your organization's mission statement?

Your organization unequivocally denounces racism and ethnic discrimination because it undermines the well-being and vitality of our communities. Your organization strives to engage community members, especially those whose voices have traditionally been marginalized.

Please check box if your organization abides to this statement.

How many years has your organization been providing services in the Gorge?

List agencies you collaborate with in our community & give a concise description of the collaboration.

List the primary activities and services your organization provides to the community.

For each service or activity, please provide the outcome and how your organization measured the outcomes.

What amount of funding is your organization hoping to secure from UWCG?

If your organization receives UWCG funding, how will your organization use the funding?

How many unduplicated clients will your organization serve with the funds you are requesting?

What is your organization’s total number of volunteers?

What percentage of the organization's budget is used for administration and fundraising?

If your organization received UWCG funding last year, what amount of allocated UWCG funds have not yet been used?

Do you expect these funds to be used by June 30th of this year?

If not, please indicate how your organization anticipates using these funds.

Did your organization achieve the outcomes stated in last year’s UWCG Organization Application and Allocation Request Form?

How did your organization promote UWCG or display UWCG logos?

Describe your organization’s co-branding efforts.

Was a Federal Form 990 filed for your organization last year?

If Federal Form 990 was not filed for your organization, please explain why

Please upload the following documents (Please note your organization’s application is not complete without this documentation) The file format must be .pdf, .docx, png, jpeg, jpg.
1. Organization’s 2024 Budget
2. Organization’s recent 990
3. Organization’s 501c3 documentation
4. Organization’s Board of Directors list
You must highlight and select all of your files for upload. You cannot select one file at a time.

Do you have any additional information that you would like to share with us?

Please select your preferred interview location: