Community Impact - Fiscal Year-End Report

Community Impact - Fiscal Year-End Report

Complete the required fields and upload the two required documents by 4pm on Friday, August 30th.

Impact Area*

Select or enter value

Agency Name*

Program Name*

Brief Program Description*

Program Participants*

Total number of unduplicated served in Fairfield County in FY24

Total Number Served by Zip Code

Please enter zero (0) for any zip code that is not applicable.

43102 Amanda*

43105 Baltimore*

43107 Bremen*

43110 Canal Winchester*

43112 Carroll*

43130 Lancaster*

43136 Lithopolis*

43046 Millersport*

43147 Pickerington*

43148 Pleasantville*

43068 Reynoldsburg*

43150 Rushville*

43154 Stoutsville*

43155 Sugar Grove*

43076 Thornville*

43157 Thurston*

43163 West Rushville*

Benefits*

Describe who the program benefits and the specific needs that are addressed

Success*

Prove and explanation of program successes achieved during the year.

Challenges*

Describe the challenges that have impeded success of the program as outlined in your FY24-FY26 application.

Addressing Challenges*

Describe the steps that will be taken to address these challenges to ensure the program's success in the next fiscal year.

Required Attachments*

Attach the following documents:

FY24 Performance Goals Report

FY24 Year-End Financial Report

Drag and drop files here or

Certification*

I certify that all statements and information contained in this report are true and complete to the best of my knowledge and belief.

Certifying Official's Name/Signature*

Email Address*

Date*

Send me a copy of my responses