KNC ARPA Grant Application

ARPA Grant Application

Please review the FAQ page for more information on grant guidelines.
We recommend working on the application in a separate document and entering the information when you are ready to submit it as this application cannot be saved.

The City of Wichita has selected the Kansas Nonprofit Chamber to receive $325,000 in American Rescue Plan Act (ARPA) funding to help nonprofit organizations in our community recover from the Covid-19 pandemic. To be eligible for a grant your organization must be a registered nonprofit organization with 501c3 tax status, have had a revenue of $500,000 or less in your organization’s most recent 990, and clearly demonstrate the negative effect Covid-19 has had on your organization. A clear outline of how the funds will be used along with a clear timeline and budget is also required. Grant amounts will range from $2,500 to $5,000 and distributed via monthly reimbursements. Your organization must also have a clear plan to address diversity, equity, and inclusion and provide copies of your Anti-Discrimination Policy and your Ethics & Conflicts of Interest Policy.

Applications received by the last day of the month will be reviewed by our review panel and you will be notified via email of their decision. Applications will be accepted until all funding has been allocated.

Please visit our FAQ page for more information.

If you have any questions or need further assistance please email Ashly Arnoult at grantwriter@ksnonprofitchamber.org or by phone at 316-351-8427
Contact Information
Organization Full Legal Name*
Organization Website*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
CEO/Executive Director*

First NameLast Name
Phone Number*

Area CodePhone Number
E-Mail Address*
example@example.com
Contact Person*

First NameLast Name
Title*
Phone Number*
Please enter a valid phone number.
E-Mail Address*
example@example.com
Organization Information
Is your organization a registered 501(c)(3) tax-exempt organization?*

YesNo
Federal EIN*
Year Established*
SAM.gov Unique Entity ID*
Please visit SAM.org for help on obtaining a UEI
Organization Revenue as Reported on Previous Year Form 990*
Current Fiscal Year Operating Budget*
Total # of Full-Time Staff*
Total # of Part-Time Staff*
Total # of Volunteers*
Total Wichita Residents Served Annually*
Mission Statement*
Request Details
Type of Request*
Requested Amount*
Total Program Budget (If Applicable)*
Grant Period From*

MonthDayYear
Date
Grant Period To*

MonthDayYear
Date
Multi-Year?*

YesNo
Grant Purpose*
Geographic Area Served*
Demographics of Population Served (Socioeconomic Status, Race, Ethnicity, Gender, Age)*
How did you hear about this opportunity?*
Narrative
Executive Summary
- Brief Summary of your organization's history and accomplishments
- Brief description of how grant funding would be used (either info about the program/project or info about core programs)
- Brief description of the impact the COVID-19 Pandemic has had on your organization
250 Words*

0/250
Funding Plan
- Timeline on how the funds will be spent over what period of time
- Brief description of the resources, staff, volunteers, and board members you plan to utilize to make the program, project, or organization successful
- Detailed plan on how your organization plans to address diversity, equity, and inclusion
500 Words*

0/500
Community Needs, Goals, and Impact
- Describe the needs within the Wichita community that this funding will help address
- List the desired goals, impact, and/or benefits to the community and how you would define success
- Describe the impact this grant funding would have on your organization and the Wichita community
500 Words*

0/500
Additional Documents
Most Recent IRS 501c3 Status Determination Letter*

Browse Files

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Most Recent IRS Form 990*

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Organization's Current Operating Budget*

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Please Include Organization's Expenses, Revenue, and Program/Project Details if Applicable Cancelof
Current List of Board of Directors*

Browse Files
Please Include Positions and Relevant Affiliations Cancelof
Anti-Discrimination Policy*

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Cancelof
Ethics & Conflicts of Interest Policy*

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Cancelof
Grant Recipient Requirements & Agreement
By submitting this application, I understand that if selected your organization is able to complete the following:
- Submit Quarterly Performance Reports
  - Total Wichita residents served
  - Race and ethnicity of residents served
  - Residents served who reside in Equity Impact Zip Codes
- Staff, volunteers, or board members attend 15 hours of Kansas Nonprofit Chamber Education
- Submit survey 12 months following initial funding
- Spend funds as outlined in your application & submit reimbursement requests monthly
I certify the above information is true and accurate to the best of my knowledge regarding the information provided.
Signature*

Clear
Printed Name*
Title*
Date*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

ARPA Grant Application

Contact Information

Organization Information

Request Details

Narrative

Executive Summary

Funding Plan

Community Needs, Goals, and Impact

Additional Documents

Grant Recipient Requirements & Agreement

By submitting this application, I understand that if selected your organization is able to complete the following:

I certify the above information is true and accurate to the best of my knowledge regarding the information provided.