Agency Application | St. Landry-Evangeline United Way

Agency Application

United Way is committed to investing in local programs producing measurable results.

A United Way Partner Agency is a 501 (c)(3) non-profit organization that has applied for United Way funding through the Community Investment Process – a donor driven review system.

Click here for funding application

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PART I - Agency Information

Today's Date

Agency Information

Agency's Name

Street Address

City

State

Zip Code

Mailing Address (if different)

Agency's Phone Number

Agency's Fax Number

Agency's website address

Number of Employees

Agency Mission Statement

Primary Contact's Information

Primary Contact's First Name

Primary Contact's Last Name

Primary Contact's Email Address

CEO information

CEO's First Name

CEO's Last Name

CEO's Title

CEO's Email Address

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