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Agency Application

Make an impact in your community by joining United Way! Your support helps fund essential programs in education, financial stability, and health. Donate, volunteer, or partner with us to create lasting change. Get involved today!

 

Download the Agency Applications below and submit them via the form

2026 Agency Designated Funds Form

2026 Agency Restricted Funds Document

Agency Budget Form for Year 2026 Funding

UW 2026 Memo of Understanding

UWPBR application Year 2026 Funding

 

2026 Application Checklist: 

  1. Completed funding application; including two supplemental documents regarding designated funds, signed MOU, completed revenue/expense form, and documents proving agency’s promotion of United Way of the Pine Belt Region
  2. Complete list of agency’s current Board of Directors and contact information
  3. Copy of most recent financial audit or review
  4. Copy of most recent MS Charity certificate (if charity application is required)
  5. ONE hard copy of the complete application delivered or mailed to United Way of the Pine Belt Region by 5:00 pm on April 4, 2025
  6. Completed application submitted online by midnight, April 4, 2025

 

Agency Application

Name(Required)
Email(Required)
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Accepted file types: doc, docx, pdf, xlsx, Max. file size: 22 MB.

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