2026 Agency Assistance Application

Partner with us to make a greater impact

Important Deadlines & Information

  • Application Deadline: All applications must be submitted by 4:00 PM CST on December 31, 2025. No late applications will be accepted.
  • Complete Submissions Only: No partial submissions will be accepted. All information and required documents must be complete.
  • Save Your Progress: You may leave and return with the same device, and your progress will be saved (unless you clear history/cache/etc).
  • Email Confirmation: You will receive an email confirmation of your submission. If you do not receive an email, please contact info@atchisonareaunitedway.org to verify your application was received.

Become a Partner Agency

Thank you for your interest in being a Partner Agency with the Atchison Area United Way. We look forward to the opportunity to partner with you.

General Information

  • Must be a 501(c)(3) not-for-profit organization, in operation for at least one year
  • Must provide programs or services that align with United Way's pillars of health, education, and financial stability
  • The Atchison Area United Way does NOT provide general operating support through partner agency funding
  • Funding requests must be made for a specific program/service

Format Instructions

  • Please be thorough and answer all application questions - do not leave any sections blank
  • Please include all requested documents and attachments
  • Applications must be received no later than December 31, 2025, at 4:00 PM
  • The Board of Directors and Allocations Committee will review all applications
  • Final determination announcements will be sent to the contact email on the application

Application Sections

What you'll need to complete

Agency Info

Organization details, mission, and contact information

Revenue Sources

Federal, State, Local government fees/grants, other grants, and fundraising

Documents

Upload supporting documentation (PDF, DOC, XLSX, JPG, PNG accepted)

Signature

Certification and consent to verify information provided

Submit Your Application

Complete the form below to begin the application process

  • Agency Info
  • Program Details
  • Revenue
  • Documents
  • Signature

Application Submitted Successfully!

Thank you for submitting your 2026 Agency Assistance Application. You will receive a confirmation email shortly. If you do not receive an email within 24 hours, please contact info@atchisonareaunitedway.org.

Agency Information

Tell us about your organization

This email will receive the application confirmation and funding decision

Program/Service Information

Describe the specific program or service for which you are requesting funding

Which United Way focus area does this program align with?

Revenue Sources

Provide your organization's revenue information

Revenue Source Prior Year Actual Current Year Budget
Federal Government Fees/Grants
State Government Fees/Grants
Local Government Fees/Grants
Other Grants (Foundations, etc.)
Individuals / Fundraising Events
Program Service Revenue
United Way Funding (if previously received)
Other Revenue
TOTAL REVENUE

Supporting Documentation

Upload required documents. Accepted file types: PDF, DOC, DOCX, CSV, XLSX, JPG, PNG. All documents will be kept confidential.

Drag & drop files here

or

Browse Files

Please upload: IRS Determination Letter, Current Year Budget, Most Recent Financial Statements, Board of Directors List

Signature and Consent

Certification and authorization

By signing below, you certify that all information provided in this application is true and accurate to the best of your knowledge. You understand that false statements may result in denial of assistance and/or legal consequences. You also authorize Atchison Area United Way to verify the information provided and to contact you regarding this application.

Use your mouse or finger to sign above

Questions About Applications?

We're here to help you through the process.

Call 913-372-2600 Send a Message