2027 Community Impact Grant Application

2027 Community Impact Grant Application

The United Way of Bartow County Community Impact Grant is a competitive, one-time funding opportunity for nonprofit organizations serving residents of Bartow County. This grant supports programs that demonstrate measurable outcomes and meaningful impact in our community.

New for 2026
- All applications and supporting documents must be completed and submitted online through this portal
- Maximum grant amount: $60,000 per agency
- Organizations requesting $2,500 or less should contact Phoebe Floyd (phoebe@bartowliveunited.org) to receive a separate simplified application
- No paper applications will be accepted
- New applicants are required to attend a Grant Information Session to ensure eligibility and understanding of the grant process
- For questions regarding eligibility or the application process, please contact Phoebe Floyd
Application Timeline

Application Opens: April 1, 2026

Application Deadline: July 31, 2026

Late submissions will not be accepted or considered.

Focus Areas of Impact

Programs must align with at least one of the following focus areas:
- Community Resiliency
- Financial Stability
- Educational Opportunity
- Healthy Community
Eligibility Requirements

Organizations must:
- Be a 501(c)(3) nonprofit organization
- Serve residents of Bartow County, GA
- Align programming with one or more United Way focus areas
- Demonstrate clear, measurable outcomes and community impact
- Attend a Grant Information Session if applying for the first time
Application Submission

Applications and all supporting documentation must be submitted through this online portal

Incomplete applications will not be considered.

Agency Interviews

Agency interviews with United Way of Bartow Evaluation Teams are a required part of the allocation process, even if the agency has previously been awarded a United Way Community Impact Grant.

Interviews will be scheduled in for mid September-October 2026 and your agency contact will be contacted to coordinate the best time for the agency and evaluation teams to meet.

Allocation Timeline and Details

Community Impact Grants are one-time awards, and all funds must be fully expended during the 2027 calendar year.

Award amounts and the designation of United Way of Bartow County partner agencies may vary based on the total funds available through the Annual Community Investment Fund. Final funding decisions are informed by the recommendations of our Evaluation Teams and are subject to approval by the Board of Directors.

Agencies will be notified of funding decisions in December 2026, with fund disbursement beginning in January 2027 for use throughout the calendar year.

Items Needed for Upload to Complete the Application

Before completing the Community Impact Grant Application, you may want to gather the following items that you will need to upload with the application.
1. Upload List of Board of Directors, Affiliation and Term Years
2. Upload Minutes from Three (3) Board of Directors Meetings in 2025
3. Upload your 2026 agency budget
4. Upload Most Recent IRS Form 990 or IRS Form 990 EZ
5. Upload a Screenshot from the IRS Website Showing Appearance on Publication 78
6. Upload Most Recent Audit by CPA or 12 Months of Bank Statements

Agency Information
Agency Name*
EIN #*
Agency Name as Registered with the Internal Revenue Service*
CEO/Executive Director*

First NameLast Name
CEO/Executive Director Email*
example@example.com
Name of Grant Applicant (if different than CEO/Executive Director)

First NameLast Name
Applicant Job Title
Email of Applicant (if different than CEO/Executive Director)
example@example.com
YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Website (if applicable)
How many years has your agency been a 501(c)(3) organization registered with the Internal Revenue Service?
Agency Mission Statement*
Please provide a brief description of the services and client population your agency serves. *

Agency Client Demographic Information

Please answer these questions for your overall agency and not specific to any program.

Agency Total Number Served*

Rows	2023	2024	2025	Estimated 2026
Number of unduplicated individuals served by your agency.

Number of Bartow County Residents Served*

Rows	2023	2024	2025	Estimated 2026	Unkown/Not Recorded
Number of unduplicated individuals served by your agency who reside in Bartow County.

Ages of Clients Served*

Rows	Birth- 5 YRS	6-18 YRS	19-64 YRS	65 YRS +	Unkown/Not Recorded
Ages

What percentage of the client population you serve are residents of Bartow County? *

Agency Governance Information
How many members serve on your Board of Directors? *
How often does your Board of Directors meet? *
What percentage of your board is independent (not staff or relatives)? *
YesNo
YesNo
YesNo
YesNo
Upload List of Board of Directors, Affiliation and Term Years *

Cancelof
Upload Minutes from Three (3) Board of Directors Meetings in 2025*

Cancelof

Agency Financial Information
Annual Agency Budget*
Total Grant Amount Requested from United Way of Bartow County*
If this amount if more than 15% of the amount you requested from United Way of Bartow County for 2026, please briefly explain factors impacting the increased size of request.
Upload your 2026 agency budget*

Cancelof
Upload Most Recent IRS Form 990 or IRS Form 990 EZ*

Cancelof
Upload a Screenshot from the IRS Website Showing Appearance on Publication 78*

Cancelof
Upload Most Recent Audit by CPA or 12 Months of Bank Statements*

Cancelof

United Way Partnership Information

Please answer the following questions for FY26
YesNo
If yes, amount received from United Way of Bartow County.
If yes, what % of your total budget comes from United Way of Bartow County?
If you received a 2026 UWBC Community Impact Grant, please describe below all the ways you publicly recognized that grant. (Examples: UWBC logo on agency website, social media recognition, media release)
YesNo
If yes, amount received from this source.
If yes, which United Way agency or agencies did you receive funding from in 2026?

Program #1 Information
Name of Program*
New Program in 2027Currently Established Program
If this is an established program, what year was the program created?
Current Program Budget*
Grant Amount Requested from United Way*
If your total grant amount is awarded, what percent of program would be funded by United Way of Bartow County? *
YesNo
If you did receive a 2026 UWBC Community Impact Grant for this program, what was the amount of the grant?
Educational Opportunity: Empowering young people through education, mentorship, and resources to develop skills, build leadership, and create pathways to success.Community Resiliency: Enabling Bartow County residents and organizations to come together, leverage resources, and support one another to overcome challenges, strengthen lives, and sustain lasting local impact.Financial Stability: Working with individuals and families in the community to meet their basic needs, manage resources effectively, and achieve long-term economic security, supported through education, programs, and local resources.Healthy Community: Building a community where residents have access to physical, mental, and emotional health resources, fostering overall well-being, resilience, and the ability to thrive individually and collectively.
Program Specific Demographics

If this is an established program, please complete the demographic information below. All data recorded should be specific to the program for which you are requesting grant funding.

Total Number of Program Clients Served

Rows	2023	2024	2025	Estimated 2026
Number of unduplicated individuals served by your program.

Number of Bartow County Residents Served by Program

Rows	2023	2024	2025	Estimated 2026	Unkown/Not Recorded
Number of unduplicated Bartow County residents served by your program.

Ages of Clients Served by This Program

Rows	Birth- 5 YRS	6-18 YRS	19-64 YRS	65 YRS +	Unkown/Not Recorded
Ages

What percentage of the population served by this program are Bartow County residents?

Program #1 Questions

Please complete the following section for the specific program for which you are requesting funding.
What community problem does this program address?*
Describe the program activities and timeline for 2027.*
How frequently do participants engage with the program (Examples: daily, weekly, summer)? Please explain how your clients engage with your program. *
Describe exactly how the UWBC grant amount requested will be used to support this program. Use specific numbers to explain the need for requested amount (This number may be an estimate. Example: $3000 requested will be used to purchase medication for senior citizens in 2027.)*
Describe coordination with other local nonprofits and list those agencies you partner with through this program.*

PLEASE STOP AND READ BEFORE PROCEEDING WITH THE REST OF THE APPLICATION

You may apply for funding for up to three (3) separate programs if the total grant amount requested by your agency is less than or equal to $60,000.

If you only wish to apply for grant funding for one program, you do not need to complete the information for Program #2.

If you need an application for a third program, please email Phoebe Floyd at phoebe@bartowliveunited.org to request an additional form.

If you are only applying for one program, you may advance to the Patriot Act section to complete and submit your application.

Program #2 Information

Please complete the following section for the specific additional program for which you are requesting funding.
Name of Program
New Program in 2027Currently Established Program
If this is an established program, what year was the program created?
Educational Opportunity: Empowering young people through education, mentorship, and resources to develop skills, build leadership, and create pathways to success.Community Resiliency: Enabling Bartow County residents and organizations to come together, leverage resources, and support one another to overcome challenges, strengthen lives, and sustain lasting local impact.Financial Stability: Working with individuals and families in the community to meet their basic needs, manage resources effectively, and achieve long-term economic security, supported through education, programs, and local resources.Healthy Community: Building a community where residents have access to physical, mental, and emotional health resources, fostering overall well-being, resilience, and the ability to thrive individually and collectively.
Current Program Budget
Grant Amount Requested from United Way
If your total grant amount is awarded, what percent of program would be funded by United Way of Bartow County?
Program Specific Demographics

If this is an established program, please complete the demographic information below. All data recorded should be specific to the program for which you are requesting grant funding.

Total Number of Program Clients Served

Rows	2023	2024	2025	Estimated 2026
Number of unduplicated individuals served by your program.

Number of Bartow County Residents Served by Program

Rows	2023	2024	2025	Estimated 2026	Unkown/Not Recorded
Number of unduplicated Bartow County residents served by your program.

Ages of Clients Served by This Program

Rows	Birth- 5 YRS	6-18 YRS	19-64 YRS	65 YRS +	Unkown/Not Recorded
Ages

What percentage of the population served by this program are Bartow County residents?

Program #2 Questions

Please complete the following section for the specific program for which you are requesting funding.
What community problem does this program address?
Describe the program activities and timeline for 2027.
What are your client intake and eligibility requirements?
How frequently do participants engage with the program (ex. daily, weekly, summer)?
How do you reduce barriers to participation (transportation, language, cost)?
Describe coordination with other local nonprofits and list those agencies you partner with through this program.
Describe exactly how the UWBC grant amount requested will be used to support this program. Use specific numbers to explain the need for requested amount (this may be an estimate. Example: $3000 requested will be used to purchase medication for senior citizens in 2027.)*

Certification and Authorization

By signing below, I certify that the information contained in this application is true, accurate, and current to the best of my knowledge. I understand that submission of inaccurate or misleading information may result in the disqualification of this application.

I further certify that this application has been reviewed, approved, and is fully supported by the organization’s Board of Directors, and that the organization is authorized to submit this request for funding from United Way of Bartow County.

By signing, I affirm that I am an authorized representative of the organization and have the authority to submit this application on behalf of the agency.
Name

First NameLast Name
Signature
Date

MonthDayYear
Date

Thank you for taking the time to complete the 2026 United Way of Bartow County Community Impact Grant Application. We sincerely appreciate your organization’s dedication to serving our community and your interest in partnering with United Way of Bartow County to create lasting impact.

Please review your responses carefully before submitting your application.

To finalize your submission, click the “Submit” button below.

Important Deadline Reminder:
All applications must be submitted no later than July 31, 2026.
Applications received after this deadline will not be accepted or reviewed.

Once submitted, your application will be reviewed as part of the 2026 Community Impact Grant allocation process.

We are grateful for the work you do in our community and for choosing to partner with United Way of Bartow County to improve lives and strengthen Bartow County.

Thank you for your commitment to making a difference.
Should be Empty:

Rows	Comply	Do Not Comply
This Organization is not on any federal terrorism “watch lists,” including the list in Executive Order 13224, the master list of specially designated nationals and blocked persons maintained by the Treasury Department, and the list of Foreign Terrorist Organizations maintained by the State Department.
This Organization does not, will not and has not knowingly provided financial, technical, in-kind, or other material support or resources* to any individual or entity that is a terrorist or terrorist organization, or that supports or funds terrorism.
This Organization does not, will not and has not knowingly provided or collected funds or provided material support or resources with the intention that such funds or material support or resources be used to carry out acts of terrorism.
This Organization does not, will not and has not knowingly provided financial or material support or resources to any entity that has knowingly concealed the source of funds used to carry out terrorism or to support Foreign Terrorist Organizations.
This Organization does not re-grant to organizations, individuals, programs and/or projects outside of the United States of America without compliance with IRS guidelines.
This Organization takes reasonable, affirmative steps to ensure that any funds or resources distributed or processed do not fund terrorism or terrorist organizations.
This Organization takes reasonable steps to certify against fraud with respect to the provision of financial, technical, in-kind, or other material support or resources to terrorists and terrorist organizations.

UWBC Community Grant Eligibility Questionaire

Agency Information

Agency Client Demographic Information

Agency Governance Information

Agency Financial Information

United Way Partnership Information

Program #1 Information

Program Specific Demographics

Program #1 Questions

Program #2 Information

Program Specific Demographics

Program #2 Questions

Patriot Act Agreement