2027 MICRO-GRANT APPLICATION

Funding Threshold: $499 and below

Use this form if your funding request is less than $500. If your project requires $500 or more, please complete our Standard Grant Application.

Be sure to answer every question. If not applicable, mark N/A and explain.

Please contact us with questions via email or at (605) 270-1596.

Program Information

Program Name *

Agency Name *

Is this agency incorporated and does it have 501(c)(3) status?YesNo

Please upload a copy of your IRS determination letter stating your are a 501(c)(3) organization. *

No file chosen

Because your agency does not have 501(c)(3) status, explain what type of organization you are and how it is governed. Include an organzational chart if applicable. *

Upload file

Primary Contact *

Email Address *

Phone *

Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

2027 Grant Request (must be under $500)

USD

How will the Community Impact Grant received in 2027 be used? Please note: facility improvements, staff wages/salary or similar projects are not eligible for funding. *0 / 250

If the program received grant funding from IAUW in 2026, please give specifics as to how it was used, including a general timeline for implementation. *0 / 250

Briefly describe the program. For example, does it serve a specific age group, gender or special interest? *0 / 250

IAUW supports non-profit agencies and organizations that address United Way Impact Areas.

Healthy Community: Improving health and well-being for all (individual health and hygiene access, nutrition and food security, health spaces and physical activity, and/or mental health support)
Youth Opportunity: Helping young people realize their full potential (childcare/early childcare education, in-school, after-school and summer learning, family engagement, literacy development, and/or college and career readiness)
Financial Security: Creating a stronger financial future for every generation (adult education, job training, career pathways, financial education and coaching, homelessness prevention, affordable housing, homeownership programs, and/or public benefits access)
Community Resiliency: Addressing urgent needs today for a better tomorrow (crisis hotline and support, emergency preparedness, and/or disaster relief and recovery)

Please choose the Community Impact Area that best describes your program. *Healthy CommunityYouth OpportunityFinancial SecurityCommunity Resiliency

Please explain how your program applies to the selected primary Impact Area. *0 / 250

Which community or communities do you serve in Lake, Miner and/or Moody counties? Please list. *

For existing programs, provide the number of persons/units served.

2026 Actual Persons/Units *

2027 Projected Persons/Units *

Please describe a unit of service, if applicable. *

Provide examples of how a specific donation amount makes a difference for this program (for use in IAUW marketing). For example, a $90 donation to IAUW will provide 3 children free books for a year using the Dolly Parton Imagination Library program. *0 / 250

Fiscal Information

Be sure to answer every question. IAUW reserves the right to request more fiscal information if needed.

Please list the estimated costs for this request so we know how the money is being spent. Upload additional sheets if necessary.

Item/Expense *

Cost *

USD

Upload file

Total Project Cost *

USD

Your total project cost is more than $500. How will you cover the remaining balance? *0 / 250

Volunteer Commitment

IAUW requires Community Partners commit two (2) volunteer hours to assist with IAUW efforts during the funding cycle. Volunteer opportunities may include but are not limited to: helping deliver campaign packets, selling WIN BIG Raffle tickets, working at DownTown in MadTown events, or representing IAUW in a community event.

Provide names, phone numbers and email addresses for potential voluteers from your agency.

Name

Phone

Email Address

Applicant Signatory

Title

Date

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