The Impact Award
Eligibility Criteria
Award Application
Pump Foundation Website
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The Impact Award
Eligibility Criteria
Award Application
Pump Foundation Website
The Impact Award
Eligibility Criteria
Award Application
Pump Foundation Website
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100k Community Impact Applicants 2026
Section 1: Organization Information
Legal Organization Name:
*
DBA (if applicable):
EIN (Tax ID Number):
*
Organization Website:
Email
*
Phone
*
Primary Contact First Name
*
Primary Contact Last Name
*
IRS Status (check one):
*
501(c)(3) Public Charity
Private Foundation
Other
Please Explain Status
Section 2: Mission & Programs
What is your organization’s mission?
*
0
/ 200
Briefly describe the program you are requesting funding for and populations served.
*
0
/ 500
What geographic area do you serve?
*
Approximately how many individuals did you serve in the last year?
*
Section 3: Funding Request
Name of Program:
*
Award Amount Requested
*
$100,000
Is this request for:
*
Initiate a new program
Program expansion
Operational support
Equipment
Staffing
Other
Please Explain What
Describe how the requested funds will be used.
*
0
/ 500
What problem does this funding address?
*
What measurable outcomes do you expect?
*
Section 4: Impact & Evaluation
How do you measure success?
*
What evidence demonstrates your effectiveness? (data, testimonials, outcomes)
*
Describe a recent success story that reflects your impact.
*
Describe a recent success story that reflects your impact.
*
Section 5: Financial Information
Total Annual Budget (current year): $
*
Total Revenue (last fiscal year): $
*
Total Expenses (last fiscal year): $
*
Percentage of funding from:
Individuals %
Foundations %
Government %
Events/Other %
Section 6: Sustainability
How will this project/program continue after grant funds are spent?
*
What are your primary funding challenges?
*
What makes your organization uniquely positioned to address this issue?
*
Section 7: Leadership & Governance
Executive Director Name:
*
Board Chair Name:
*
Number of Board Members:
*
Are board members financially contributing?
*
Yes
No
Briefly describe board involvement and governance practices.
*
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