Grant Reporting Form

Reports will be expected throughout the grant period to update program regarding your progress. This report should be provided with each disbursement request.

The report narrative should provide information for the REPORTING PERIOD ONLY.

Please attach all supporting documents in a single PDF attachment at the end of the report.




















Please describe your business accomplishments and successes during the reporting period.

This should include deliverables completed and purchases made for this reporting period.



Has the grant expanded or made a difference in the quality of the services that you provide and/or in your organizational effectiveness? If so, in what way(s)? If not, what circumstances or obstacles impeded or limited your work?


On a scale from 1 to 10, with 1 being not effective and 10 being most effective, please rate how the grant affected your ability to expand or make a difference in the quality of the services that you provide and/or in your organizational effectiveness.


What impact did the grant have on the population you serve? Your staff? The community?


On a scale from 1 to 10, with 1 being not impactful and 10 being most impactful, please rate how impactful the grant was on the population you serve, staff, or community.


During the course of the project, what transpired that differed from what you anticipated?


What can DMPED do (financially or non-financially) to improve your experience during this grant process?


On a scale from 1 to 10, with 1 being not helpful and 10 being most helpful, please rate how helpful DMPED has been in assisting you during this grant process.


Please answer the question in the following format:


Title:
Amount:
Full or Part Time:
Place of residency:



Please answer the question in the following format:

Title:
Amount:
Full or Part Time:
Place of residency:







List all items purchased against grant this reporting period. Please report in the following format:

Item
Approved Budget
Actual Expenses



Please answer in the following format:

Year:
Sales:
Sales Tax:



Year:
Sales:
Sales Tax:



Feel free to upload any relevant or supporting materials, newspapers clippings, media releases, photos, etc.






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