Final Grant Report Form - Community Foundation of the Northern Shenandoah Valley - Virginia

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Community Foundation of the Northern Shenandoah Valley
Final Grant Report Form
To Grant Recipients:
The Community Foundation of the Northern Shenandoah Valley Distribution Committee and the Foundation Board
regularly evaluate our grant program. A critical part of the evaluation process is finding out what impact our grant
had to your organization.
Please submit a brief report (utilizing this form) as soon as your project is complete, or no later than December 15
of this year. Use a separate piece of paper if needed. If we do not receive this form back, you will not be eligible for
future funding.
Name of organization: ___________________________________________________________________________
Project title: ____________________________________________________________________________________
Person filing the report: __________________________________________________________________________
Executive director: ______________________________________________________________________________
Grant date: _________________________________
Date of report: ____________________________________
Project/Program Information
Specifically, what did you ask the Foundation to fund?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Have the goal and objective as outlined in the grant application been achieved? (If not, please explain.)
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Were there any barriers to completing the project? (If yes, describe.) _____________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
What were the overall strengths and/or weaknesses of the project? What did you learn in implementing the
project? How might this affect future projects? _______________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Describe those served by this project, specifically referring to geographic residents or location, age and other
descriptions. ___________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Community Foundation of the Northern Shenandoah Valley
Final Grant Report Form
To Grant Recipients:
The Community Foundation of the Northern Shenandoah Valley Distribution Committee and the Foundation Board
regularly evaluate our grant program. A critical part of the evaluation process is finding out what impact our grant
had to your organization.
Please submit a brief report (utilizing this form) as soon as your project is complete, or no later than December 15
of this year. Use a separate piece of paper if needed. If we do not receive this form back, you will not be eligible for
future funding.
Name of organization: ___________________________________________________________________________
Project title: ____________________________________________________________________________________
Person filing the report: __________________________________________________________________________
Executive director: ______________________________________________________________________________
Grant date: _________________________________
Date of report: ____________________________________
Project/Program Information
Specifically, what did you ask the Foundation to fund?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Have the goal and objective as outlined in the grant application been achieved? (If not, please explain.)
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Were there any barriers to completing the project? (If yes, describe.) _____________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
What were the overall strengths and/or weaknesses of the project? What did you learn in implementing the
project? How might this affect future projects? _______________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Describe those served by this project, specifically referring to geographic residents or location, age and other
descriptions. ___________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
If so, how did this project benefit the community at large? ______________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Financial Information
Did you successfully raise the necessary funds to implement the project as planned? Please explain: ____________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
If the project is to be continued, how much funding will be needed? ______________________________________
What other financial resources will be available to you? ________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Briefly describe the specific use of the Foundation grant monies (expenditures, purpose, etc.): ________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Publicity Information
How did you publicize/promote that you were the recipient of this grant?
□ Facebook
□ newspaper
□ newsletter
□ Twitter
□ other: __________________________________
We welcome any other information related to this project that you would like to share - specifically news stories or
pictures. We often use pictures in our publications, website and Facebook, so clearly describe the picture and the
names of those pictured and indicate that approval is granted for publication. Thank you. We wish you continued
success in your service to our community.
Please return this form along with photos and any news stories of your grant project to:
The Community Foundation of the Northern Shenandoah Valley
P.O. Box 2391, Winchester, VA 22604
___________________________________________
Chair of Board or Executive Director
Please note: the information you provide on this form will not be used against in any way you should you choose to
apply again next year. Both the Community Foundation and Mr. Cochran are aware that sometimes there are
unanticipated obstacles that can hinder a project. Your information will be used only to help us better understand.

Download Final Grant Report Form - Community Foundation of the Northern Shenandoah Valley - Virginia

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