Heart of Florida United Way

Heart of Florida United Way Partnership Inquiry Form

Once your organization has become familiar with United Way, our goals, and our strategies, we invite you to complete our Partnership Inquiry Form below. The purpose of this form is to provide your organization the opportunity to describe your agency, its capacity, and its programs/services. This form is not an application for funding.

SECTION ONE: Organization Profile

1. * Organization name:

3.How long has your organization been an established 501(c)(3)?

4.How many staff (FTEs & PTEs) does the organization employ?

51 or more employees

5. * Mission Statement:

6. * Service area (counties, neighborhoods, etc.):

7.Does your organization have an updated Central Florida Foundation Nonprofit Search Profile (https://www.nonprofit-search.org/)?

Yes

* If yes, please provide the link to your organization's profile:

* If no, when does your organization plan to create its Nonprofit Search profile?

8. * Name of Chief Executive Officer:

9. * Organization point of contact for follow-up inquiries:

SECTION TWO: Organizational Capacity

1. * Describe your organization's programs and services:

2. * Describe the population(s) that your organization serves:

3. * Describe the outcomes and/or indicators that your organization measures and reports on as a part of your performance measurement system:

4. * Describe any recent program or organizational accomplishments and how your organization achieved these goals:

SECTION THREE: Organizational Interest

1.Select all programs your organization is interested in partnering with Heart of Florida United Way:

211 & Crisis Services

Volunteer Income Tax Assistance (VITA)

Destination Graduation

Site-based employee assistance programs

* If you selected "Other," please briefly describe your interest in partnering with Heart of Florida United Way.

Thank you for submitting Heart of Florida United Way's Partnership Inquiry Form. This form is not an application for funding, but is a means to provide additional information on your programs and services. If you have any questions, please contact: Michelle Willson, Strategic Impact Coordinator, P: (407) 429-2145, E: michelle.willson@hfuw.org

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