Community Crisis Relief Fund Application

Community Crisis Relief Fund Application for Nonprofit AGENCIES

 

 
1 Start 2 Complete

Organization Information

Physical Address

Funding Request

i.e. food assistance, utility assistance, etc.
Describe the proposed project and its anticipated impact related to COVID-19.
If your agency has an extenuating circumstance or special need that would necessitate a request that exceed these amounts, please include specific detail regarding this request and use of these funds.
Indicate the time period in which the funding will be utilized.
Provide a breakdown of how you will spend the requested money.

See example:

Please note: Applicants for additional funding will NOT be considered until United Way of Marshall County has received your agency's Community Crisis Relief Fund follow-up report, which will be mailed to you.

Required Attachments

Only necessary if United Way does not have your most recent on file.
Files must be less than 32 MB.
Allowed file types: jpg jpeg png pdf.
Only necessary if United Way does not have your most recent on file.
Files must be less than 5 MB.
Allowed file types: jpg jpeg png pdf.
Files must be less than 10 MB.
Allowed file types: jpg jpeg pdf doc docx.
Files must be less than 10 MB.
Allowed file types: jpg jpeg pdf doc docx.
Files must be less than 10 MB.
Allowed file types: jpg jpeg pdf doc docx.

Authorization

Typing your name below is an agreement to the following statement:

I certify that the information contained here is true and correct, and that any funding received as a result of this application will be utilized in a manner that is consistent with the proposed purposes of the projects and/or programs described. I understand that at any time, United Way of Marshall County may request documentation related to any grant received, including verification of unduplicated clients and expeditures.