Organization Information

The Human Needs Assistance Fund is designed to supplement agencies' abilities to meet basic human needs during a crisis. Please note, Human Needs Assistance Fund grants are restricted to cover programmatic costs only.

Please complete the information below.

* Organization Name:

* Contact Name:

Title:

Mailing Address:

City:

State:

Zip:

Telephone:

Fax Number:

* Email:

Grant Information

* Amount Received:

* Month Last Grant Approved:

1. Please summarize how your agency spent the Human Needs Assistance Fund grant it received.

Community Food Bank Credits

Client Utility Assistance

Client Rent/Mortgage Assistance

Client Medications

Food Purchased for Clients

Other (must have been pre-approved by UWCA)

Total Amount Spent:

$0.00

2. If your agency has Human Needs Assistance Fund money and/or credits that have not been spent, when (number of days or weeks) do you anticipate your grant will be fully spent?

3. Please provide the total numbers of unduplicated clients served with funds provided by the current Human Needs Assistance Fund grant. Please indicate if the numbers given represent a family or one person.

a). Number of unduplicated clients served through Human Needs Assistance supported programs

b). Number of unduplicated NEW clients served through Human Needs Assistance Funds

c). Number of unduplicated clients served by Human Needs Assistance since April 1, 2020

Please provide some "success stories" about individuals or families assisted through the Human Needs Assistance Fund grant your agency received.

For other questions, please contact:
Randy Betsch
(205) 458-2171
rbetsch@uwca.org

Please note: Follow-up Reports must be received by the United Way of Central Alabama before new applications for funding will be considered.

I certify that the information contained herein is true and correct to the best of my knowledge.

* Authorized Representative Signed:

Items marked with an asterisk(*) are required

Submit

If you have any questions, concerns or suspect a breach of your information within this site, please contact eservices@uwca.org.

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Organization Information

Grant Information

Total Amount Spent: