Bill Porter Fund Application

WHO:

Applicants must be receiving contracted supports from UCP Oregon, or be active within UCP’s Family Support Department to be considered.

WHAT:

Bill Porter funds may requested for anything that might improve your quality of life, such as home modifications; assistive technology; travel; educational funding; job training; wellness pursuits and/or hobbies.
See a list of past requests that were funded here.

WHEN:

We will be accepting applications from 8am on March 1st until 5pm on March 31st, 2024.
All applications will be considered equally, as long as they are received within the dates of the application period.
Award recipients will be likely be announced by early May, 2024.

2024 BILL PORTER ONLINE APPLICATION

customer name

* Indicates required field

UCP Customer's Name *

First

Last

your connection to ucp

Are you currently receiving contracted supports from UCP Oregon, and/or currently active within UCP’s Family Support Department? *

Yes No

What department do you receive UCP services through? *

Supported Living (UCP Foundations) Supported Employment (Employment Solutions) Brokerage Services (UCP Connections, or UCP Mentors) Family Support

UCP Oregon employee contact's name (who you know or work with at UCP) *

your contact info

Your Email Address *

Your Address *

Line 1

Line 2

City

State

Zip Code

Country

Your Home Phone Number *

Your Cellphone Number *

about your request

WHAT IS REQUESTED? (Please describe the equipment, service or plan, and include a price or price estimate if possible. Please also describe how these funds/purchase will positively impact your life.) *

IF APPLICABLE, LIST THE REQUESTED ITEM'S VENDOR/PROVIDER. (Include as much information as you can, including name, address, phone, website, email, etc.) *

marketing permission

If you are selected to receive Bill Porter funds, do we have permission to use your story in our marketing materials? (We may use your first name and funding request in places such as Facebook, our website, and/or our employee newsletter. Your answer has no effect on our decision to award funds.) *

Yes No

Submit

Questions? Call UCP's Executive Director (Ann Coffey) at 971-235-9543, or email her below.

EMAIL ANN