THRIVE Network Report

Thank you for being a valued partner of Heart of Indiana United Way. The work you do to help families in our community THRIVE is critical, and we appreciate you!

Please complete the report form below, which covers the period July 1, 2023-June 30, 2024. If you have any questions, do not hesitate to reach out to Karen Hemberger at klhemberger@heartofindiana.org.

About The Report

Reminder: Deadline is August 16, 2024 at 5:00 pm

Fields marked with a red * are required.

You may save your work to return later. Make sure to click “Save and Resume Later” at the bottom of the page, and follow the prompts to do so.

Organization Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Website / URL

Executive Director *

First

Last

Contact name if different from Executive Director

First

Last

Email *

Phone *

What County or Counties do you plan to serve with this request? *

Delaware County
Henry County
Madison County

Please indicate which county or counties you serve

PROGRAM PARTICIPANT COUNT

Please report an unduplicated count of program participants from July 1, 2023-June 30, 2024 by geographic area, gender, race/ethnicity, income level and age, for each service for which you received funding.

Total number of program participants *

Are you able to report an unduplicated count of participants? *

Participants by Geography

Please report an unduplicated count of program participants from July 1, 2023-June 30, 2024 by geographic area for each county you serve.

PARTICIPANTS BY GENDER

Please report an unduplicated count of program participants from July 1, 2023-June 30, 2024 by gender.

Number of male participants *

Enter 0 if none/not tracked

Number of female participants *

Enter 0 if none/not tracked

Number of tansgender male/trans man participants *

Enter 0 if none/not tracked

Number of trans female/trans woman participants *

Enter 0 if none/not tracked

Number of non binary/gender nonconforming participants *

Enter 0 if none/not tracked

Number of gender unknown *

PARTICIPANTS BY RACE/ETHNICITY

Please report an unduplicated count of program participants from July 1, 2023-June 30, 2024 by race/ethnicity.

Number of American Indian/Alaska Native participants *

Enter 0 if none/not tracked

Number of Black/African American participants *

Enter 0 if none/not tracked

Number of Asian/Pacific Islander participants *

Enter 0 if none/not tracked

Number of Hispanic/Latino participants *

Enter 0 if none/not tracked

Number of White/Caucasian particpants *

Enter 0 if none/not tracked

Number of participants of other race/ethnicity *

Enter 0 if none/not tracked

Number of participants with unknown race/ethnicity *

Enter 0 if none/not tracked

PARTICIPANTS BY INCOME LEVEL

Please report an unduplicated count of program participants from July 1, 2023-June 30, 2024 by income level.

Number of participants at or below 100% of Federal Poverty Level *

Number of participants between 100%-200% of Federal Poverty Level *

Number of participants at or above 200% of Federal Poverty Level *

Number of participants whose income level is unknown *

Story

Please share a story that illustrates how this funding helped your program or program participants

Outcome lessons learned *

Describe what has been learned about your current program’s success as a result of outcomes data. If any changes have been made to the program (e.g. outreach, activities, data collection) based on the outcomes data, describe those changes.

AGENCY Budget *

Click or drag a file to this area to upload.

Please upload the AGENCY budget for the funding year.

PROGRAM Budget *

Click or drag a file to this area to upload.

Please upload the PROGRAM budget for the funding year.

Financial Statement *

Click or drag a file to this area to upload.

Please upload the most current board approved financial statement for your organization

Year-End Program Financial Statement *

Click or drag a file to this area to upload.

Please upload the actual program expenses vs. budgeted expenses for the period July 1, 2022-June 30, 2023

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