Impact Grant Application

Name

First Name

Last Name

Phone

(###)

###

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Business Name

Business Description

Please provide a brief description of the organization with an overview of its programs and services.

Amount Requested

Collaborative Project

Is your organization collaborating with other organizations to complete this program/project?

Business Distinction

What distinguishes this program/project from other services that address the same issue(s)?

Community Benefit

Please describe how this program/project will benefit the community.

Program/Project Sustainability

How will the organization sustain the program/project moving forward?