Year-End Report

Agency's Name

Street Address

City

State

Zip Code

Mailing Address (if different)

Agency's Phone Number

Agency's website address

Number of Employees

Primary Contact's Information

Primary Contact's First Name

Primary Contact's Last Name

Primary Contact's Email Address

CEO/Executive Director's Information

CEO/Executive Director's First Name

CEO/Executive Director's Last Name

Title

Email Address

Program (1) Name

What category(ies) would your program fall under – Education, Income, or Health?

Please provide a brief summary of your United Way funded program:

What is your target population? Please list specific demographics.

List other current funding sources and amounts for this program.

Explain specifically how UW funding was used (include whether the funding helped add new services or supplemented funding to maintain current service levels).

Provide the number of unduplicated individuals served in Harrison County during this reporting period.

Estimated number of individuals not served due to limited resources.

Please provide at least one success story that occurred during this reporting period. For confidentiality purposes please do not provide actual names. This information may be used in United Way public awareness materials.

What else would you like us to know about your program? If the general public knew one thing about your United Way funded program, what would you want it to be?

Program (2) Name

What category(ies) would your program (2) fall under – Education, Income, or Health?

Please provide a brief summary of your United Way funded program (2):

What is your target population?

List other current funding sources and amounts for this program. (2)

Explain specifically how UW funding was used (include whether the funding helped add new services or supplemented funding to maintain current service levels).

Provide the number of unduplicated individuals served in Harrison County during this reporting period.

Estimated number of individuals not served due to limited resources

Please provide at least one success story that occurred during this reporting period. For confidentiality purposes please do not provide actual names. This information may be used in United Way public awareness materials.

What else would you like us to know about your program (2)?

What significant challenges has your organization faced during 2020? Were you able to overcome those challenges? How?

Did your organization pause or discontinue any services because of Covid-19? If so, which services and for how long?

List any additional influencing factors affecting the outcome results.

Do you currently provide services to Doddridge County residents? Why or why not?

Please provide the average income of clients served through your United Way funed program.

Results Summary - Please provide a summary of any statistics, valuable information, or other facts that reflect the impact of your United Way funded program.

Upload your Balance Sheet/Fiancial Statement Ending December 31, 2020

Any additional comments

It is required to login to complete this form.

If you do not have an account you can register here.