Grant Performance Report

GRANT PERFORMANCE REPORT

Organization Information

* Indicates required field

Name of Organization *

Date *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Web Address *

Executive Director *

First

Last

Title *

Email *

Phone Number *

Project Manager *

First

Last

Title *

Email *

Phone Number *

Project Information and Budget

Descriptive Title of Project *

Amount Awarded *

Total Project Budget *

Organization Operating Budget Amount *

Grant Project Timetable *

Authorized Signatures

Signature of authorized person reviewing this report *

Date *

Project Summary

1. Summary of Project (50 words or less)
Describe the project as it actually was offered or implemented, highlighting any differences from what was originally proposed.

Comment *

2. Project Report
List all your outcomes for the funded project as implemented and the results based on your evaluation process.

Comment *

3. Current Findings
Describe whether the project accomplished its goals and objectives. Note any differences in the proposed target population and the actual population served. Describe the methods and approaches used to accomplish the project and the actual staffing and administration needed. Also include collaborative partners for this project, if applicable.

Comment *

4. Explain How You Leveraged WISE Women Funds
List other funding sources for this project and amount received, if applicable.

Comment *

5. Project Promotion and Media
Describe any media coverage of the event and how WISE Women was acknowledged in promotions and media coverage. Please upload copies of coverage, if possible.

Comment *

Upload File *

Max file size: 20MB

6. Recommendations for the Future
What are your future plans for this project? Briefly describe rationale for sustaining the project with ongoing funding, expansion, or replication. If appropriate, explain reasoning for one time offering or termination of the project.

Comment *

Fiscal Report

1. Amount Approved Versus Amount Expended and Balance

Use PERFORMANCE REPORT BUDGET FORM that can be found on the GRANT home page. Upload this file here or mail it to WISE Women of Blair County, PO Box 134, Hollidaysburg, PA 16648.
Receipts are not required for submission with final report.
WISE Women of Blair County reserves the right to request any or all financial documentation regarding this grant.

Upload PERFORMANCE REPORT BUDGET FORM *

Max file size: 20MB

2. Project Modification
If your project was modified, was a modification requested and granted by WISE Women of Blair County. Please explain.

Comment *

3. Reconciliation of Funds
Please submit any remaining funds to WISE Women of Blair County unless other arrangements have been approved prior to this report. Checks may be mailed to WISE Women of Blair County, PO Box 134, Hollidaysburg, PA 16648.

Submit