Impact Grant Application

Non-Profit Grants

Application Deadline: October 1, 2026

Priority consideration will be given to projects which have not received an Impact Grant in prior years.

Organization Name

Organization Website

Contact Person

Phone

Address

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

Project Title

Grant Amount Requested

Total Project Cost

Describe proposed project in executive summary format, detailing the full scope of the project. Be specific and concise.

Anticipated Population Reach

Anticipated Timeline of Project

Explain how this project addresses a major community need.

Expenditures for budget for carrying out the project

List the organization name(s), contact person(s) and phone number(s) for community partners who have agreed to collaborate on this project.

Statement of Support from Collaborating Organization

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Please list any grants received from the Pella Community Foundation in the past 5 years and indicate how they were used (year, amount, purpose):

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!