Impact Grant Application

Non-Profit Grants

Application Deadline: October 15, 2025

Organization Name

Project Title

Contact Person

Phone

Address

Please provide a brief overview of your organization including mission statement, focus areas, audiences served and strategic goals.

Grant Amount Requested

Total Project Cost

Describe proposed project (what, when, why, how and by whom)

Anticipated Population Reach

Anticipated Timeline of Project

Articulate in detail the full scope of the project and the community need being addressed. Consider this an executive summary of your proposal. Be specific and concise.

Explain how this project addresses a major community initiative.

Describe why the organization is uniquely positioned to carry out this project and its capacity to implement the proposed project.

Expenditures budget for carrying out the project.

If this project includes a formal collaboration, share information about each partner and their contributions. List the local organization's contact name, phone number and email address.

Statement of Support from Collaborating Organization

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Board of Directors List

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Total Annual Budget & Financial Statement

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IRS 501(c)(3) Letter of Determination

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Thanks for submitting!