Summer Grant 2025 Final Report Form | United Way of Indiana County

Agency Information

Agency Name:

Program Name:

Total Amount Received:

Country

First name

Last name

Company

Street address

City

Postal code

Executive Director:

Executive Director Email Address:

Confirm email

Preparers name if not prepared by ED:

Preparers Email Address:

Confirm email

Please complete the following:

Please provide a description of the program and how the United Way funds were used:

How many people in Indiana County received services or participated in the program? How does this compare to your program last year if you provided the service then (regardless of whether you received UW funds)?

Describe the program/project's successes in reaching its projected outcomes:

Describe any challenges or issues that occured and describe any changes in the program that will be made as a result of this evaluative process:

Will you continue to provide this service again and how will you financially sustain it if UW funds are not available?

Outcomes Report

What area of need does the program address (health, education, financial stability, basic needs)?

List the specific observable or measurable outcomes or changes for your clients that are anticipated through the program. These may relate to behavior, skills achieved, knowledge, attitudes, etc.

Please provide any data which may include surveys, observations, testing, etc.

# and % (REPORT BOTH) of people who are anticipated to achieve program outcomes:

Please provide the total number of persons from each zip code area that received services from this program/project:

16211

16246

16256

15681

15701

15705

15710

15712

15713

15714

15716

15717

15720

15723

15724

15725

15727

15728

15729

15731

15732

15734

15739

15741

15742

15745

15746

15747

15748

15750

15752

15754

15756

15758

15759

15761

15763

15765

15771

15772

15774

15777

15783

15920

15929

15944

15949

15954

15957

15961

Along with this report form, we ask that you please provide:

Upload an itemized list of expenditures covered by funding provided for the project/program:

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By signing, I agree that the information in this report is true and accurate.

Preparer's Signature

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