Jefferson County United Way Request for Proposal (RFP) Application

Question Title

* Organizational Information

Name of Organization

EIN

Address

City & Zip Code

Name of Primary Contact

Email Address

Phone Number

Question Title

* Name of Board Chair

Question Title

* Board Chair Email Address

Question Title

* Should your organization be invited to apply for funding (through the RFF), would you need assistance to complete the required logic model?

Yes

Assurances

Question Title

* About Your Organization

Select Yes or No for Each Question
Does your organization utilize a Diversity, Equity and Inclusion position statement or an EEOC compliance statement?
Does your organization utilize a Diversity, Equity and Inclusion position statement or an EEOC compliance statement? Select Yes or No for Each Question menu
Is your organization's nonprofit status in good standing with the IRS and State of Indiana?
Is your organization's nonprofit status in good standing with the IRS and State of Indiana? Select Yes or No for Each Question menu
Does your organization have the operational capacity (staff, board engagement, multiple funding streams, etc.) to effectively fulfill the goals of the proposed project/initiative?
Does your organization have the operational capacity (staff, board engagement, multiple funding streams, etc.) to effectively fulfill the goals of the proposed project/initiative? Select Yes or No for Each Question menu
Are the staff who will administer and carry out the service delivery of the proposed project/initiative qualified and experienced to do so effectively?
Are the staff who will administer and carry out the service delivery of the proposed project/initiative qualified and experienced to do so effectively? Select Yes or No for Each Question menu
Can your organization provide evidence that Jefferson County is being served with funding from JCUW?
Can your organization provide evidence that Jefferson County is being served with funding from JCUW? Select Yes or No for Each Question menu
Is your organization focused on human and social services?
Is your organization focused on human and social services? Select Yes or No for Each Question menu
Does your organization have an IRS accepted 990, dated within the past 24 months?
Does your organization have an IRS accepted 990, dated within the past 24 months? Select Yes or No for Each Question menu
Has your organization had an audit or review within the past 24 months?
Has your organization had an audit or review within the past 24 months? Select Yes or No for Each Question menu
Did your organization's most recent audit or review produce any substantial findings or needed corrections?
Did your organization's most recent audit or review produce any substantial findings or needed corrections? Select Yes or No for Each Question menu
Has your Board made quorum the past 4 meetings prior to the RFP?
Has your Board made quorum the past 4 meetings prior to the RFP? Select Yes or No for Each Question menu
Does your organization have any significant partnerships that will contribute to the success of the proposed project/initiative?
Does your organization have any significant partnerships that will contribute to the success of the proposed project/initiative? Select Yes or No for Each Question menu

Question Title

* What percent of the Board Members on your current roster make a personally significant financial contribution annually (this is apart from fundraising activities - such as event or ticket sales - and re-assignment of reimbursement or expenses back to the organization)

Question Title

* Organization Narrative
In 500 or fewer words, describe your organization’s history, mission, and target beneficiaries (specific groups within our community to whom your organization prioritizes assistance) as well as your staffing capabilities.

The Proposal
Select the community impact area for which your organization is interested in being funded (select only 1). Below your selection, indicate the corresponding goal or goals, by priority, that your proposed project/initiative will help us meet. Leave all other Community Impact Areas blank.

Tip: Refer to the Community Impact Area Goals outline on the JCUW website

Question Title

* Community Impact Area: An Equal Chance for Young Children

	Primary focus	Secondary focus	Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Not a focus
Children start school ready to learn	Children start school ready to learn Primary focus	Children start school ready to learn Secondary focus	Children start school ready to learn Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Children start school ready to learn Not a focus
Parents are recognized and empowered to act as their children's first, best teachers	Parents are recognized and empowered to act as their children's first, best teachers Primary focus	Parents are recognized and empowered to act as their children's first, best teachers Secondary focus	Parents are recognized and empowered to act as their children's first, best teachers Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Parents are recognized and empowered to act as their children's first, best teachers Not a focus
High-quality early childhood care and education is accessible and affordable throughout the community	High-quality early childhood care and education is accessible and affordable throughout the community Primary focus	High-quality early childhood care and education is accessible and affordable throughout the community Secondary focus	High-quality early childhood care and education is accessible and affordable throughout the community Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	High-quality early childhood care and education is accessible and affordable throughout the community Not a focus

Question Title

* Community Impact Area: Youth Life Skills

	Primary focus	Secondary focus	Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Not a focus
Students are prepared to be self-sufficient in adulthood	Students are prepared to be self-sufficient in adulthood Primary focus	Students are prepared to be self-sufficient in adulthood Secondary focus	Students are prepared to be self-sufficient in adulthood Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Students are prepared to be self-sufficient in adulthood Not a focus
Middle school and early high school students are on track for on-time graduation and have a post-graduation vision	Middle school and early high school students are on track for on-time graduation and have a post-graduation vision Primary focus	Middle school and early high school students are on track for on-time graduation and have a post-graduation vision Secondary focus	Middle school and early high school students are on track for on-time graduation and have a post-graduation vision Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Middle school and early high school students are on track for on-time graduation and have a post-graduation vision Not a focus
Teens and young adults who've dropped out of school are on a path to get a GED and acquire marketable job skills	Teens and young adults who've dropped out of school are on a path to get a GED and acquire marketable job skills Primary focus	Teens and young adults who've dropped out of school are on a path to get a GED and acquire marketable job skills Secondary focus	Teens and young adults who've dropped out of school are on a path to get a GED and acquire marketable job skills Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Teens and young adults who've dropped out of school are on a path to get a GED and acquire marketable job skills Not a focus

Question Title

* Community Impact Area: An Educated and Work-Ready Workforce

	Primary focus	Secondary focus	Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Not a focus
Individuals and families have the capacity to move toward financial stability	Individuals and families have the capacity to move toward financial stability Primary focus	Individuals and families have the capacity to move toward financial stability Secondary focus	Individuals and families have the capacity to move toward financial stability Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Individuals and families have the capacity to move toward financial stability Not a focus
Ready-to-graduate students have a post-graduation vision and path forward	Ready-to-graduate students have a post-graduation vision and path forward Primary focus	Ready-to-graduate students have a post-graduation vision and path forward Secondary focus	Ready-to-graduate students have a post-graduation vision and path forward Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Ready-to-graduate students have a post-graduation vision and path forward Not a focus
Employees have access to worker re-skilling and up-skilling opportunities	Employees have access to worker re-skilling and up-skilling opportunities Primary focus	Employees have access to worker re-skilling and up-skilling opportunities Secondary focus	Employees have access to worker re-skilling and up-skilling opportunities Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Employees have access to worker re-skilling and up-skilling opportunities Not a focus
Financial acumen is promoted as an indicator of overall community prosperity	Financial acumen is promoted as an indicator of overall community prosperity Primary focus	Financial acumen is promoted as an indicator of overall community prosperity Secondary focus	Financial acumen is promoted as an indicator of overall community prosperity Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Financial acumen is promoted as an indicator of overall community prosperity Not a focus

Question Title

* Community Impact Area: Community Care

	Primary focus	Secondary focus	Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Not a focus
The personal risk factors that contribute to family and community instability are disrupted	The personal risk factors that contribute to family and community instability are disrupted Primary focus	The personal risk factors that contribute to family and community instability are disrupted Secondary focus	The personal risk factors that contribute to family and community instability are disrupted Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	The personal risk factors that contribute to family and community instability are disrupted Not a focus
Individuals and families have access to safe and healthy homes	Individuals and families have access to safe and healthy homes Primary focus	Individuals and families have access to safe and healthy homes Secondary focus	Individuals and families have access to safe and healthy homes Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Individuals and families have access to safe and healthy homes Not a focus
Individuals and families have access to a safe, healthy community	Individuals and families have access to a safe, healthy community Primary focus	Individuals and families have access to a safe, healthy community Secondary focus	Individuals and families have access to a safe, healthy community Not a focus but will be a by-product of efforts (we intend to provide correlative data as evidence)	Individuals and families have access to a safe, healthy community Not a focus

Jefferson County United Way Request for Proposal (RFP) Application

Question Title

* Organizational Information

Question Title

* Name of Board Chair

Question Title

* Board Chair Email Address

Question Title

* Should your organization be invited to apply for funding (through the RFF), would you need assistance to complete the required logic model?

Question Title

* About Your Organization

Question Title

* What percent of the Board Members on your current roster make a personally significant financial contribution annually (this is apart from fundraising activities - such as event or ticket sales - and re-assignment of reimbursement or expenses back to the organization)

Question Title

* Organization NarrativeIn 500 or fewer words, describe your organization’s history, mission, and target beneficiaries (specific groups within our community to whom your organization prioritizes assistance) as well as your staffing capabilities.

Question Title

* Community Impact Area: An Equal Chance for Young Children

Question Title

* Community Impact Area: Youth Life Skills

Question Title

* Community Impact Area: An Educated and Work-Ready Workforce

Question Title

* Community Impact Area: Community Care

* Organization Narrative
In 500 or fewer words, describe your organization’s history, mission, and target beneficiaries (specific groups within our community to whom your organization prioritizes assistance) as well as your staffing capabilities.