Program Reporting From January 2020 - June 2020 | United Way of Northwest Alabama

PART I - About Your Organization

Today's Date

Agency Information

Agency's Name

Street Address

City

State

Zip Code

Mailing Address (if different)

Agency's Phone Number

Agency's website address

Employer Identification #

CEO Information

CEO's First Name

CEO's Last Name

CEO's Email Address

CEO's Phone Number

Submittor's Contact Information

Contact's First Name

Contact's Last Name

Contact's Email Address

Contact's Phone Number

Upload your Board of Directors Roster

Upload requirements

How often did your board meet during the last 6 months?

Upload your budget

Upload requirements

Please print: https://www.uwnwal.org/sites/uwnwal.org/files/President%20and%20Treasurer%20Certification.pdf

Your Board President and Treasurer are responsible for reviewing this report and verifying it's validity.

Upload President & Treasurer Certification Here

Upload requirements

You will be able to, optionally, enter information for up to four programs. After you click through to the page following this one, you will see the entry form for the first program. The last question in that form will be 'Do you have an additional program'. Answer 'yes', and a second program entry form will appear below. This will repeat until up to four program forms are filled out.

Program 1

Part II - About The Program

Program Name

Which general area of focus does the program fall under? Pick one

Program Description

What is the specific need addressed by this program?

How was the need identified and what sources verified it?

Provide Impact Statement

Part III - Inputs, Objectives, Services, Outputs, Outcomes, & Measures

Total Funded Inputs

Program Objectives

Program Services

Total Funded Program Outputs

Outcome Measures

Evaluation Plan

Success Story from the past 6 months

Geographical Area Served & Target Population

Are your programs restricted to certain cities or parts of cities?

If YES, where?

Number of clients in Lauderdale County

Number of clients in Colbert County

Number of clients in Franklin County

Number of clients in Marion County

Client Totals

Actual number of units of service January 2020 - June 2020

Actual number of unduplicated clients served January 2020 - June 2020

Client Population & Conditions

Download our Client Population & Conditions Worksheet HERE

Upload Client Population and Conditions Worksheet

Upload requirements

Part IV - Budget and Supporting Documentation

Additional Budget Narrative

Upload your Program Budget

Please upload your program specific budget

Upload requirements

Part V - Electronic Signature

Digital Signature Required

Signature

Do you have an additional program?

Yes

Program 2

Part II - About The Program

Program Name

Which general area of focus does the program fall under? Pick one

Program Description

What is the specific need addressed by this program?

How was the need identified and what sources verified it?

Provide Impact Statement

Part III - Inputs, Objectives, Services, Outputs, Outcomes, & Measures

Total Funded Inputs

Program Objectives

Program Services

Total Funded Program Outputs

Outcome Measures

Evaluation Plan

Success Story from the past 6 months

Geographical Area Served & Target Population

Are your programs restricted to certain cities or parts of cities?

If YES, where?

Number of clients in Lauderdale County

Number of clients in Colbert County

Number of clients in Franklin County

Number of clients in Marion County

Client Totals

Actual number of units of service January 2020 - June 2020

Actual number of unduplicated clients served January 2020 - June 2020

Client Population & Conditions

Download our Client Population & Conditions Worksheet HERE

Upload Client Population and Conditions Worksheet

Upload requirements

Part IV - Budget and Supporting Documentation

Additional Budget Narrative

Upload your Program Budget

Please upload your program specific budget

Upload requirements

Part V - Electronic Signature

Digital Signature Required

Signature

Do you have an additional program?

Yes

Program 3

Part II - About The Program

Program Name

Which general area of focus does the program fall under? Pick one

Program Description

What is the specific need addressed by this program?

How was the need identified and what sources verified it?

Provide Impact Statement

Part III - Inputs, Objectives, Services, Outputs, Outcomes, & Measures

Total Funded Inputs

Program Objectives

Program Services

Total Funded Program Outputs

Outcome Measures

Evaluation Plan

Success Story from the past 6 months

Geographical Area Served & Target Population

Are your programs restricted to certain cities or parts of cities?

If YES, where?

Number of clients in Lauderdale County

Number of clients in Colbert County

Number of clients in Franklin County

Number of clients in Marion County

Client Totals

Actual number of units of service January 2020 - June 2020

Actual number of unduplicated clients served January 2020 - June 2020

Client Population & Conditions

Download our Client Population & Conditions Worksheet HERE

Upload Client Population and Conditions Worksheet

Upload requirements

Part IV - Budget and Supporting Documentation

Additional Budget Narrative

Upload your Program Budget

Please upload your program specific budget

Upload requirements

Part V - Electronic Signature

Digital Signature Required

Signature

Do you have an additional program?

Yes

Program 4

Part II - About The Program

Program Name

Which general area of focus does the program fall under? Pick one

Program Description

What is the specific need addressed by this program?

How was the need identified and what sources verified it?

Provide Impact Statement

Part III - Inputs, Objectives, Services, Outputs, Outcomes, & Measures

Total Funded Inputs

Program Objectives

Program Services

Total Funded Program Outputs

Outcome Measures

Evaluation Plan

Success Story from the past 6 months

Geographical Area Served & Target Population

Are your programs restricted to certain cities or parts of cities?

If YES, where?

Number of clients in Lauderdale County

Number of clients in Colbert County

Number of clients in Franklin County

Number of clients in Marion County

Client Totals

Actual number of units of service January 2020 - June 2020

Actual number of unduplicated clients served January 2020 - June 2020

Client Population & Conditions

Download our Client Population & Conditions Worksheet HERE

Upload Client Population and Conditions Worksheet

Upload requirements

Part IV - Budget and Supporting Documentation

Additional Budget Narrative

Upload your Program Budget

Please upload your program specific budget

Upload requirements

Part V - Electronic Signature

Digital Signature Required

Signature

Program Reporting From January 2020 - June 2020

Please submit your agency information by Friday, August 14, 2020

PART I - About Your Organization

Please print: https://www.uwnwal.org/sites/uwnwal.org/files/President%20and%20Treasurer%20Certification.pdf

Client Population & Conditions

Client Population & Conditions

Client Population & Conditions

Client Population & Conditions

THE LATEST