United Way of the Texas Gulf Coast

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United Way of Frederick
County
Emerging Community Needs Grant Funding
Report
Winter 2012
Instructions: Please complete this form and return to United Way of
Frederick County within one month of the completion of the funded project.
Reports can be sent to Brian Duchon at brianduchon@unitedwayfrederick.org.
Date Submitted:
Date Project Completed:
Agency Name:
Contact person and title:
Phone:
Email:
Amount Received: $
Please attach a summary budget for this project, highlight the areas that were
paid for through Emerging Community Needs Grant funds.
1. What were the specific activities of the project? Describe the overall
work accomplished for the project, who and how many people were served?
How were United Way funds spent?
2. Please describe a success story from this project.
3. How did you publicize the activities and/or results of this project and
acknowledge UWFC’s role?
Wednesday, February 10, 2016
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United Way of Frederick
County
Emerging Community Needs Grant Funding
Report
Winter 2012
4. Please list any outcomes that were a result of the project and how they
may relate to United Way’s focus in the areas of education, income and
health.
5.
6.
What community area did your project address?
project/program fulfill this area of need?
How did the
What is the future of this project?
In addition to the requested information please consider including any additional information or material that you feel is
relevant to the project. Consider including pictures of the event, news or media coverage and testimonials from
participants. Completed reports should be submitted electronically or by mail to Brian Duchon at
brianduchon@unitedwayfrederick.org , P.O. Box 307, Frederick Maryland 21705 no later than one month upon the
completion of the project.
Wednesday, February 10, 2016
Page 2 of 3
United Way of Frederick
County
Emerging Community Needs Grant Funding
Report
Winter 2012
___________________________________
Executive Director – Print
___________________________________________
Board Chair - Print
___________________________________
Signature
___________________________________________
Signature
Wednesday, February 10, 2016
Page 3 of 3
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