Application Instructions

WHEN IS THE DEADLINE

Deadline is 4:30 p.m., April 17, 2008.
Original and 11[eleven] copies must be submitted [collated, stapled upper left hand corner, and unfolded].

FUNDING PRIORITIES

•  Fulfilling Urgent and Basic Needs

•  Improving Financial Stability

•  Helping Youth Succeed

•  Improving Independence and Self-Sufficiency

•  Promoting Individual and Family Health and Wellness

•  Embracing Education

WHO IS ELIGIBLE

•  Any incorporated non-profit health and human service agency requesting the funds for charitable purposes and proposing a measurable project to improve the well-being of Dodge City and Ford County residents are eligible to apply.

•  Agency will be verified through the Secretary of State’s Business Entity Search. Please feel free to check your agency’s status with the Secretary of State at the following website prior to submitting your application: www.kssos.org. UW - DC will not accept applications from organizations not “active and in good standing” with the Secretary of State.

ADMISSION CRITERIA

•  Agency must obtain financial support other than UW – DC. Agency must maintain management and general administration expenses of UW - DC allocated funds to be less than 25% [twenty-five] of the agency’s expenses as verified by the budget form

•  Agency must have unpaid Board of Directors who meet at least quarterly, verified through documented minutes, set policies, and follow a rotation policy

•  Agency must cooperate with other UW - DC Agencies, other health and human services and support service agencies in promoting effective, efficient service, with lack of duplication in service delivery

•  Agency must make available service to clients regardless of race, color, national origin, sex, age, political affiliation, religion, disability or veteran status

•  UW- DC will not be held responsible for application preparation costs. Publication of the Community Investment Grant Application does not obligate UW – DC in any way to award any specific grant request or memorandum of agreement to all or any part of available funds
   

APPLICATION REQUIREMENTS

þ Agency Information

þ Program Information

þ Program Budget

þ Program Narrative 250 [two hundred fifty] word maximum

þ Budget Narrative 250 [two hundred fifty] word maximum

þ Signed by agency signatories

þ Original and 11 [eleven] copies [collated, stapled upper left corner, and unfolded]

þ Upon award of funding the Agency will complete the Memorandum of Agreement between UW - DC and the Agency
 

BUDGET DEFINITIONS
 

REVENUE SOURCES

1. United Way Grant - Grants received from UW - DC

2. Federal Grants - Money received from the Federal Government

3. Government Support - Revenue from Taxing Entity

4. Foundations/Private Grants - Funds received directly from private foundations
    

5. In-kind Support - gifts of materials or supplies in lieu of monetary donations that
   provide a savings for the program

6. Client/Program Service Fees - Fees received for services furnished by the
   organization

7. Contributions - Donation received directly from individual donors and organizations

8. Interest/Investment Income – Interest, dividends, and royalties on any type of investment

9. Other Revenue – If revenue to an agency has been properly classified, very little
   should be reported. However, if you foresee having to use your agency’s reserves
   in order to fund a portion of the program, list that amount

EXPENSES

1.    Salaries – specific to program for which you seek funding

a. Includes all salaries and wages, including full-time, part-time and temporary
b. Contract Labor - Includes any temporary, professional labor that is specific to a portion of the program [i.e. payment to a financial counselor for financial literacy class to clients]

c. Benefits/Taxes employee health and retirement benefits including premiums for insurance, life insurance, medical and hospital plans, disability insurance premiums, pension or retirement plans, supplemental payments to pensioned employees or payments to annuitants

d. Program Administration - Salaries dedicated to clerical support provided to the program

2.    Professional Fees

a. Fees and charges of professional practitioners, technical consultants, or semi-professional technicians who are not employees of the agency and are engaged as independent contractors for specified services on a fee or other individual contract basis. Does not include persons engaged for maintenance and repair services which should be included in ‘occupancy’ expenses

3.     Supplies

a. All supplies and materials used by an agency. This includes office supplies, housekeeping supplies, cost of food and beverages purchased for use in agency food service or programs and recreational and craft supplies

b. Postage/shipping/Printing - Postage, parcel post, commercial trucking and other delivery expenses such as shipping and shipping materials. Includes printing charges relating to informational materials. Also includes costs of purchased publications, and subscriptions

4.     Travel

a. Travel and transportation expenses of staff and volunteers. Includes local fares; gas and oil, repairs, insurance, leasing, tires, licenses and permits for company vehicles; mileage reimbursement and appropriate actual expenses of agency staff and volunteers; cost of hotels, meals and other expenses relative to travel and transportation of agency staff, and volunteers

b. Conference/Training - Expenses of conducting meetings related to an agency’s activities including registration/enrollment fees incurred by an employee while attending an outside meeting

5.    Communication [Phone, Fax, Email]

a. Expenses for all and any communication

6.    Occupancy

a. Program funding only, includes rent, utilities, janitorial and other
maintenance services under contract

7.    Education, Conference/Training

a. Expenses of conducting meetings related to an agency’s activities including registration/enrollment fees incurred by an employee while attending an outside meeting

8.     Other

a. Expenses not reportable in another account classification. Miscellaneous
expenses should be itemized

ADMISSION CRITERIA

•  Agency must obtain financial support other than UW - DC Agency must maintain management and general administration expenses of UW - DC allocated funds to be less than 25% [twenty-five] of the agency’s expenses as verified by the budget form

•  Agency must have unpaid Board of Directors who meet at least quarterly, verified through documented minutes, set policies, and follow a rotation policy

•  Agency must cooperate with other UW - DC Agencies [when necessary] other health and human service, human service, and support service agencies in promoting effective, efficient service, with lack of duplication in service delivery

•  Agency must make available service to clients regardless of race, color, national origin, sex, age, political affiliation, religion, disability or veteran status
   

FUNDING LIMITATIONS

No program funding will be awarded above $20,000.00

Funding will not be provided to support the following

•  Clinical or medical research

•  Contributions to capital campaigns

•  Organizations that practice discrimination by race, color, national origin, sex, age, political affiliation, religion, disability or veteran status

•  Operating deficits or retirement of debt

•  Endowment programs

•  Construction projects or real estate acquisitions

•  Political projects of any kind or special interest groups

•  Motorized or self-motorized vehicles does not include motorized assistive devises for persons with disability

•  Those that exist solely as a forum for the presentation of cultural or artistic achievements

•  Sectarian programs [UW - DC will fund programs of religious organizations as long as the program does not include religions content and is open to all]

•  Rent, utilities, fuel cost (unless specific to the program) or un-required program supplies

•  Any other limitations that the UW - DC Board of Directors considers inappropriate for United Way support

Restrictions

•  Do not provide more information than is requested

•  Incomplete/incorrect/unsigned applications will not be accepted and will be returned. Applications must be computer type written from the file. No hand written or typewriter written applications will be accepted. Additionally, no faxed or e-mailed copies will be accepted either

•  Only one complete application per agency will be accepted

•  UW - DC does not provide an oral or written explanation for funds awarded or denied applications

•  All applications and supplemental materials become the property of the UW - DC

FAILURE TO INCLUDE OR COMPLY WITH ANY INFORMATION WILL RESULT IN REJECTION OF YOUR AGENCY APPLICATION