United Way of Central Louisiana
2016 Funding Application
Staff Information
Agency Name
Of the people your agency has on its paid staff:
How many full-time staff does your agency employ?
How many part-time staff does your agency employ?
*Total full-time and part-time staff, not seasonal
How many seasonal staff does your agency employ?
Have funding cuts led to a reduction in staff this year?
For all other questions below, omit seasonal staff.
What is the ethnic composition of your regular staff (not seasonal)? Information on the number of minorities involved
in United Way agencies can be helpful in dialogues with community groups.
White
Native American
Black
Asian
Hispanic
Other
Total
(*should match total above)
Describe the training for employees that your agency provides. Who received training? How much of the agency’s
budget is dedicated to training?
What benefits do your employees receive? Do all employees receive the same benefits? If not, what are the
differences?
Full-Time
Part-Time
Comments
Health Insurance
Retirement
Disability
Vacation & Sick Leave
Other
Volunteers often fulfill roles that would otherwise require paid staff. Depending on the nature of the agency and its
programs, volunteers can play a crucial part in a program’s quality and efficiency. Please describe your agency’s use
of volunteers, if applicable. Also, describe any special procedures you may have for screening volunteers, training,
etc.
Number of volunteers used in most recent year for which figures are available:
(estimate if precise counts aren’t available)
The United Way staff is often asked for salary ranges in standard types of positions. This information is useful for
agency executives or board members who want to assess the adequacy of their agency’s salaries. Please complete
the following form and indicate salary ranges for your staff positions.
Please note that we do not wish to know the names of individuals. When furnishing this information, UWCL will not
attach an agency’s name to the data. Rather, we will supply anonymous budget sizes with the salary ranges
requested. In this way, the relative salary levels can be compared across agencies without a breach of confidentiality.
Many agencies have taken advantage of the UWCL capability when reviewing their own staff salaries.
Your Agency’s Annual Budget
$
Please list the staff positions in your agency, with the minimum and maximum of the salaries for each position.

List each position only once. For example, if you employ two secretaries who do essentially the same type of
work and are paid about the same, list “Secretary” only one time.

List no names of individuals

If your agency does not have official salary ranges for its staff positions, please estimate the range you
would expect to pay for that position.

A few positions are already listed. If any do not apply to your agency, leave them blank. Use blank spaces
for positions not already listed.
Position
Executive Director
Program Director
Social Worker
Counselor
Secretary
Bookkeeper
Salary/Wage Minimum
Salary/Wage Maximum
Budgets are plans that usually must be revised in response to changing conditions. Please submit budgets for Final
2014, Current 2015 and Proposed 2016 in the three-column format below. This will greatly facilitate our ability to
understand income sources across agencies, and you are welcome to the information when we have compiled it. If
you have several sources of income within a single category (e.g., Government or Foundations), please show them. If
your agency uses a different fiscal year, you may report on that basis, but please define it. You may include additional
notes to help readers understand unusual situations, amounts or changes. You are welcome to add more rows if
needed.
Budget
Income
Total Contributions from Individuals
Total Income from Fundraisers
Member Dues & Program Fees
Investment & Interest Income
Combined Federal Campaign (CFC)
Foundation Grants
(list foundations & amounts)
United Way of Central Louisiana
Other United Ways
Local Government (identify sources)
State Government (identify sources)
Federal Government
(identify sources)
Religious Groups
Other
Total Income
Actual 2014
Current Budget 2015
Proposed Budget 2016
Expenses differ a great deal from agency to agency. We encourage you to use the chart of accounts that your
agency uses in your regular budget, being sure to include such standard items as rent or occupancy cost, salaries,
etc. You are welcome to add more rows if needed but keep things as simple as possible.
Expenses
Expenses
Salaries
Rent or Mortgage
Total Income
Surplus or (Deficit):
Actual 2014
Current Budget 2015
Proposed Budget 2016