2020 United Way Partner Agency Mid-Year Goal Assessment

Welcome to the 2020-2021 United Way of Western Nebraska Mid-Year Goal Assessment. We are pleased to offer the option to complete the requirement online this year for all of the areas we serve. The form is due by no later than December 31, 2020.

Please contact United Way at 308-635-2522 (Scottsbluff) or 308-763-8031 (Box Butte & Dawes) or email bbc@uwwn.org with any questions.

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Agency Name

Contact Name

Phone Number

Email Address

Please select the area that granted your agency funding

United Way of Western Nebraska serving Box Butte County

United Way of Western Nebraska serving Dawes County

United Way of Western Nebraska

Agency Outcomes/Goals (as stated in the Funding Application)

Are you on track to achieve those goals?

What is your plan of action to assure that your agency/program will achieve your goals?

Were the United Way funds provided to your program/agency to be used for a specific purpose?

Yes

Yes, the funds were for a specific purpose

Amount of 2020-2021 United Way grant

2020-2021 United Way Grant Funds Remaining

If funding was granted for more than one program, please itemize the amount remaining and the amount designated.

Describe a situation where your agency has made an impact in the the community.

This may be a family, individual, etc. that your agency has helped in the community. Names and identifying instances may be changed to ensure that anonymity is retained if necessary. Please note with an asterick by the names, etc. that are changed.