New Agency or Program Application



WHO IS ELIGIBLE TO APPLY?

To apply as a new Partner Agency, your agency must be a not-for-profit agency, as designated by the IRS, offering services addressing one of United Way of Hancock County’s identified impact areas (education, health, and financial stability).

To apply for a new program, your agency must be a current Partner Agency with a signed 2021 Partner Agreement.

NEW AGENCY REQUIRED DOCUMENTS
*if your agency is a current Partner Agency with UWHC (with a signed 2021 Partner Agreement), omit the “Agency Information” Section).

PLEASE SUBMIT AGENCY INFORMATION AS ATTACHMENTS BELOW.
1. IRS Nonprofit Determination Letter
Upload requirements
2. Articles of Incorporation
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3. By-Laws
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4. Signed Counter-Terrorism Compliance Form
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5. Non-Discrimination Policy
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*this information is needed for each additional program you are applying for
Program Impact Area(s)
Program Community Report

Programs that are implemented by our partner agencies are designed to address a population in the community to support these populations in a positive way. For example, these programs provide impacts such as “all students in Hancock County will graduate” or “Hancock County will be a safe community.”

Based on the selection(s) made in Impact Area and Community Priority, briefly describe how your program impacts a general population result. (Please keep this statement to 500 words or less.)