Form - RFP - United Way of Eastern Frontier Country

Organization Name(Required)

Organization Tax ID(Required)

Executive Director(Required)

First Last

Executive Director Email(Required)

Executive Director Phone Number(Required)

Name of Person Completing Application(Required)

First Last

Phone of Person Completing Application(Required)

Email of Person Completing Application(Required)

Organization Address(Required)

Street Address Address Line 2 City State ZIP Code

Mission Statement(Required)

Number of Employees(Required)

Program Name(Required)

Enter the specific program requesting funding, not your organization name

Amount of funding requested(Required)

Describe the specific local need(s) this program addresses.(Required)

Provide data and sources that demonstrate the local need for this program.(Required)

Describe the program including frequency, duration, cost (if any) to participants, and activities(Required)

Explain how this program is designed to address the identified local need(s).(Required)

Describe the key demographic characteristics of the population served by this program (for example: age range, race/ethnicity, veteran status, disability status, or other relevant characteristics).(Required)

What percentage of individuals served by this program are considered low-to-moderate income?

Please enter a number from 1 to 100.

Please briefly describe how this is determined.

Select all communities that have access to this program during the 2026–2027 funding period.(Required)

Pottawatomie County

Lincoln County

Seminole County

Hughes County

Which community in Seminole County(Required)

Seminole

Wewoka

Which community in Hughes County(Required)

Holdenville

Wetumka

How many total individuals did you serve with this program in 2025? (Unduplicated)(Required)

Provide the number of individuals served in 2025 for each ZIP code.(Required)

Describe how you will measure program outcomes, progress, and effectiveness, including the tools or data you will use.(Required)

Provide the key evaluation results and measurable outcomes for this program from 2025, including supporting data.(Required)

How many individuals do you anticipate will be served by this program in the upcoming 12 months (July 2026-June 2027)? (Unduplicated)(Required)

If your organization serves youth under age 18, describe the training, screening, and safety protocols in place for staff and volunteers.(Required)

List all current and pending funding sources for this program, including amounts if known.(Required)

If Applicable: please outline how United Way of Eastern Frontier Country 2025 funding was utilized.

Most Recent Audit Report(Required)