Program Grant Final Report

Before you begin

You can use this Word document as a template for cut and paste purposes to make a final submission easier.

Organization Name

Grant Title

From your Grant Agreement

Grant ID#

From your Grant Agreement

Grant Amount

Do not enter dollar signs or commas

Primary Contact

Please notify the Foundation if this has changed.

1. Attach a year-to-date financial statement for this grant-funded program with Actual vs. Budgeted numbers for the program.

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2. Please explain actual-to-budget variances.

0/10000 Max words

3. Provide name of funding sources and dollar amounts for the major gifts/grants secured for your program.

Format as: ABC Foundation -$30,000; B Corporation-$55,000

0/10000 Max words

4. Was the program implemented as planned? What programmatic changes were made?

0/10000 Max words

5. What challenges impacted the program? How did you address them?

0/10000 Max words

6. Attach the program evaluation report if available: (optional)

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7. List the top three program goals as stated in your application.

0/10000 Max words

8. Describe your progress on these goals.

0/10000 Max words

9. Indicate numbers served by this program.

Use numbers only – no text

10. Calculate the cost per number served (or the cost per participant)

Example: If the cost per participant is $300, type in 300

11. Provide any relevant updates to staff and their responsibilities related to this program.

12. Explain steps that you have taken to plan for program sustainability.

0/10000 Max words

13. Anything else you want to tell us? (optional)