Letter of Intent Submission Form | United Way of Mid & South Jefferson County

New programs seeking funding from the United Way of Mid & South Jefferson County must submit a Letter of Intent by December 15, 2023 in order to apply for funding for 2024-25. This is not the application for grant funding. The Letter of Intent is the first requirement prior to the grant application opening in January. All applications and programs must provide services in the Mid & South Jefferson County area (zip codes include 77619, 77627, 77640, 77641, 77642, 77643, 77651, 77655). CLICK HERE to review full Application Requirements

This form will open November 2023.
Letter of Intent is due by December 15, 2023

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Organization

Physical Address

Phone Number

Grant Contact

Grant Contact Email

Mission Statement

Program Name

Program Budget

Requested Grant Amount

Impact Area your program grant request would fall under

Please describe the program's activities

Date Services Began

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