6 Month Funding Data Form

6 month site visit form for the 2024 Allocation Cycle of Funded Partners

We have three guiding questions for data collection and impact reporting:

1) How much did we do?

2) How well did we do it?

3) Did we make a difference?

Please have this form completed by Monday, July 17th. If you have any questions, please contact Heather Coats at heather.coats@local.unitedway.org.

Name of organization receiving funding

Funded Program Name (please complete a form for each program if we are funding more than one)

Program physical address (where our team will complete site visit)

Program Director Name

Program Director Phone Number

Program Director Email

Contact Name (the person who will be on location for site visit)

Contact Cell Phone Number

Contact Email

Amount of funding awarded

Funds spent to date

How have funds been used?

By county that you serve, how many clients has your United Way funded program served from January 2024 through end of June 2024?

Example: Craighead: 50, Greene: 25, etc.

Explain how the outcomes are being measured (software, questionnaires, client tracking, etc)

The team visiting will need to see how the outcomes are measured using your method/system of choice.

Story behind the numbers: Please share a recent story

Please share what impact could be made by the following dollar amounts: $5, $10, $25

Does your organization have a current workplace campaign with United Way?