Funded Program Report 2019-2020 | United Way of Mid & South Jefferson County

Thank you for being a partner for lasting community impacts. We are excited to hear about your success and program developments during the 2019-2020 funding cycle. This report will help us prepare our report to the community and donors that make our work possible.

Please complete the report by 4:00 p.m. on July 10, 2020

All reports are time and date stamped upon submission. Those agencies that fail to submit their report by the deadline, will have their August grant payment held until September.

If you have any questions regarding the form, please call the office and speak with Priscilla Ochoa.

Program Name

Point of Contact

Email of POC

Phone of POC

Testimonial

Budget Changes: During the last 6 months has your organization maintained a positive financial balance?

Budget Changes: Has your program had budget changes that totaled more than 10%?

Litigation:Has any form of litigation or negative media focused on your agency or programs?

Management: As a partner and financial supporter of your program(s) it is expected that if your organization were to have a management or volunteer leadership (Board Chair) change that we would be notified as soon as possible. Have you experienced a management or volunteer leadership change within the last six months (reported or not)?

Licensing: Have you had any change in licensing or funding this reporting period?

Change Liscensing: If YES to the above question please explain.

Change in Programming: Have you had or expect changes to your program that are beyond the description in the grant application or less than?

Individuals Served: How many unduplicated individuals did you provide services to through the program?

Individuals Served (MSJC Only)

Youth What was the total number of those served ages birth to 17?

Seniors:What was the total number of individuals served ages 65 and above?

Families Served

Meals: Number of Meals provided?

Food Pantry: Total pounds of food

Nights: Number of nights for residential or shelter programs? If a family of 3 stay 2 nights the nights stay should be reported as 6

Clinical Sessions: How many clinical sessions were provided? If one (1) individual received six clinical sessions, the clinical sessions should be reported as 6.

Financials

Event Flyers

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