Program Grant Interim 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 use a dollar sign or comma

Primary Contact

Please notify the Foundation if this has changed.

1. Attach an actual Year-to-Date financial statement with Actual vs Budgeted numbers.

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2. Please explain actual-to-budget variances

0/10000 Max words

3. List of currently pending funding sources with dollar amounts for this grant-funded program.

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

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5. What have your learned while implementing the program and how will that learning change the program?

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6. Attach an interim evaluation report if available:

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

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8. Describe your progress on these goals.

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

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

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