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Main Menu
About
FAQs
Operations
Board of Directors
Past Board Chairs
History
Careers
Contact Us
Our Work
Reading Tutor Program
Southeast Regional Eldercare Coalition
Find Help
Alaska 211
SNAP
Healthcare Navigators
Haines/Skagway Resources
Hoonah Resources
Juneau Resources
Kake Resources
Ketchikan Resources
Klawock Resources
Sitka Resources
Petersburg Resources
Wrangell Resources
Yakutat Resources
Born Learning
Imagination Library
SE School Districts
Partners
Apply for Partnership
Partner Agencies By Community
Campaign
2024-25 Campaign
Work Place Campaign Toolkit
Donations
Leadership Societies
News
Annual Report
Our Newsletters
Press Releases
Events
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Pick.Click.Give.
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Home
Agency Application
Home
Agency Application
Agency Application
Agency Application
Today's Date
PART I - Agency Information
Organization Information
Name of person completing application
What is your affiliation to the organization for which you are applyling?
Agency's Name
DBA Name (if applicable)
Street Address
City
State
Zip Code
Mailing Address (if different)
Agency's Phone Number
Agency's Fax Number
Agency's website address
Number of Employees
Agency Mission Statement
Primary Contact's Information
Primary Contact's First Name
Primary Contact's Last Name
Primary Contact's Email Address
Executive Director's Information
ED First Name
ED Last Name
ED Email Address
Official Title
Part II - Program Information
Agency Name
What community impact area does the agency address?
Please list the programs, objectives, services provided, annual events, etc. of your agency.
Check all SE Communities in which your organization provides services and/ or has a physical location.
Angoon
Craig
Haines
Hoonah
Juneau
Kake
Kasaan
Ketchikan
Klawock
Metlakatla
Petersburg
Sitka
Skagway
Wrangell
Yakutat
Other
Please list the community name(s).
What is your target population?
Current Annual Budget
How do you use funding raised through United Way of Southeast Alaska
Estimated number of individuals not served due to limited resources
What else would you like us to know about your program
Part III - Qualifying Statements
Are you willing to promote UWSE activities, such as Annual Campaign, Day of Caring, Etc?
Yes
No
United Way does not fund organizations whose primary focus is advocacy. Do you primarily operate to deliver needed services to the community and operate lawfully with respect to limits on lobby activities?
We are NOT primarily an advocacy organization.
We ARE primarily an advocacy organization and thus do not qualify to receive United Way funds.
What was the date of your last renewal with the State Department of Law as a Charitable Organization?
What dates does your organizations Fiscal Year run?
Part IV - Documentation
Articles of Incorporation
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Upload your Program Budget
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Bylaws
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Organizational Chart
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Non Discrimination Policy
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Code of Ethics
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Fiscal Policies
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Strategic Plan or Business Plan (if available)
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Upload your most recent 501c3
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Most current Audited Financial Statements
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Most recent 990
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Board of Directors listing
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Any additional comments
Leave this field blank