2021 United Way Bruce Grey Allocations Granting - Primary Details

Application Part A

Agencies should fill this out once and only once.

Part B should be filled out for each grant request if the organization is making more than one funding request. Part B link: https://www.surveymonkey.com/r/8MK7RZQ

* means an answer is required for this question

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* 1. Contact Information

Name of primary contact for this application *

Agency Name *

Address *

Address 2

City/Town *

Province *

Postal Code *

Charitable Number Or Indigenous Program name *

Contact Person's Email Address *

Contact Person's Phone Number *

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* 2. Agency Mission Statement

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* 3. Agency Vision Statement

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* 4. Policy and Procedure - check all that apply

Our agency has and adheres to privacy policies that meet the requirements of the relevant federal and provincial privacy legislation.

Our organization has and adheres to human resources policies and procedures.

Our organization has and adheres to diversity/inclusivity/accessibility/ equity statements.

Our organization has and adheres to anti-discrimination/anti-harassment policies/procedures.

Our organization has and adheres to volunteer policies and procedures.

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* 5. Governance - check all that apply

Our agency has an active, responsible, voluntary board which meets regularly and ensures effective governance over the organization.

We work with vulnerable clients and have a prevention of abuse policy and related insurance coverage.

Our board sets limitations on terms of office for board members and ensures those limitations are honoured.

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* 6. Mission Vision and Planning- check all that apply

Our board establishes and periodically reviews the organizational mission, vision and/or values statements.

Our agency has established a strategic plan to achieve its mission in the community and engages our stakeholders, staff and board in the process.

Our agency regularly reviews its strategic plan to determine progress in achieving key goals and objectives.

If not, please explain

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* 7. Support of United Way - check all that apply

Our agency prominently displays (or will display) the United Way of Bruce Grey member agency sign at all of its locations.

Our agency uses (or will use) the United Way member agency logo on all of its promotional and printed materials, including our annual report.

Funds received from the United Way are clearly noted (or will be noted) in our audited financial statements.

Our agency conducts an internal United Way Workplace Campaign or other fundraising activities, with participation from staff and volunteers.

We are not yet a funded agency