Heart of Florida United Way

Heart of Florida United Way Inc.

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:

2. * Website Address:

3. * In what year was your organization incorporated?

4. * In what year did the applicant agency receive 501(c)(3) status from the Internal Revenue Service (IRS)?

5. * Mission Statement:

6. * Service Area (Counties, Neighborhoods, etc.):

7. * Please provide the organization's annual operating budget for the current fiscal year.

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

9.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?

10. * Please provide the contact information (including email and phone number) for your organization's staff who should be contacted about your inquiry:

SECTION TWO: Organizational Capacity

1. * Please describe your organization's programs and services.

2. * Briefly describe the specific population in your community that is the primary intended target of your organization's programs and services.

3. * Please describe the outcomes/indicators your organization measures and reports as a part of your performance measurement system.

4. * Please describe any recent program/organizational accomplishments and how the organization achieved these goals.

5. * Describe your organization's anti-racism/ethnic discrimination statement. Describe how this statement is disseminated internally and externally.

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: Delitza Fernandez, Manager, Partner Agencies & Diversity Initiatives - Strategic Community Impact, P: (407) 429-2096, E: delitza.fernandez@hfuw.org

Items marked with an asterisk(*) are required

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