Please answer all questions completely. Agency & Program Name Program Grant Request (Enter dollar amount) A — PROGRAM DESCRIPTION AND ALIGNMENT A1 — What is the mission of your agency? About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. A2 — Please describe your program. What vital and basic needs in Hancock County are being addressed? What services and/or resources does your program provide to address these needs? About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. A3 — What role does United Way of Hancock County funding play in your programming? B — PROGRAM GOALS FOR 2027 B1 — How is your organization progressing toward the goals outlined in last year's grant application? Please highlight key accomplishments, outcomes to date, and any challenges or adjustments made. About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. B2 — What are the specific, measurable goals your program aims to accomplish in 2027? For each goal, outline the detailed action steps and anticipated outcomes, and explain how the requested funds will directly support these efforts. About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. B3 — What is the long-term vision of your program beyond 2027? Describe the broader impact it seeks to make in the community and how it aligns with your organization’s mission and values. About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. B4 — Has your organization been impacted by any internal, community or external (state or federal) changes in the past year? If so, please describe any significant adjustments made to your programs or operations. About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. C — PROGRAM PERFORMANCE MEASURES AND METRICS C1 — Does this program address the root cause of community needs and/or is it intended to meet emergency needs? Please explain. About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. C2 — How is your agency measurably improving and impacting lives throughout Hancock County? Feel free to provide examples of a testimony or success story that illustrates the impact of your work. About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. C3 — Please report the total number of clients served on a 1 to 1 basis for each of the years listed. Number served on a 1 to 1 basis 2025 Actual 2026 YTD 2026 Projected 2027 Projected C4 — Please report the total number of clients served on a group basis for each of the years listed. Number served on a group basis 2025 Actual 2026 YTD 2026 Projected 2027 Projected D — STRATEGIC RELATIONSHIPS D1 — Please provide specific examples of how your program collaborates (working jointly) and cooperates (aligning efforts) with other agencies or organizations to increase community impact. How do these relationships enhance effectiveness, efficiency, resource sharing, and service delivery compared to working independently? About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically. Lines and paragraphs break automatically. E — FINANCIAL DATA E1 — Please complete the attached Program Budget Spreadsheet (only for the program for which you are applying for funding) Program Budget Spreadsheet F — GRANT COMPLETION F1 — Please attach the completed Program Budget that you downloaded from above. One file only.200 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. F2 — Attach your most recent board-approved financial statements (balance sheet and statement of activities/income statement). One file only.200 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. F3 — Please attach Form 990, if applicable (Pages 1-12). One file only.200 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. F4 — Please attach your agency's total budget. One file only.200 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. F5 — Please attach your most recent agency audit or financial review. One file only.200 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Leave this field blank