Community Foundation of West Georgia

Community Impact Grant Final Report Form

Due within 1 year of grant award date or when all funds have been expended and project is complete, whichever comes first.

Step 1 of 2

Grantee Organization Name*
Address*
Street Address City State ZIP Code
Contact Person/Title*
Phone*
Email*
Year Grant Awarded
Grant Amount*
Total Projects Cost*
Grant Starting Date*
MM
DD
YYYY
Grant Ending Date:*
MM
DD
YYYY
Project Title*
Please answer the following questions clearly and concisely using no more than 4 pages
I. Project Outcomes
a. List the intended project outcomes originally submitted to the Foundation.
b. Describe how the outcomes were achieved or not achieved. What kind of data was collected to determine whether the outcomes were achieved or not achieved? What results were obtained? If you used a written evaluation form please enclose a copy and provide a compilation of survey/evaluation responses.
c. How many people were served and what was the geographic coverage?
II. Project Evaluation
A. Describe unforeseen problems and/or successes encountered. What were the lessons learned from this project?
B. If the project is ongoing or will be repeated at some future date, describe any changes that will be made in its design or objectives as a result of your findings.
III. Financial Evaluation
A. Please explain how grant money was expended in brief detail.
B. Explain any discrepancies between proposed and actual project revenues and expenses.
IV. Project Continuation
Will the project be continued and, if so, how will it be funded?
V. Additional Information or Comments
A. Include copies of any publicity that your organization produced or received about the grant and the program. Example: newsletter, donor list, newspaper clipping, etc.
PUBLICITY DOCUMENTS: Please attach here. (You may upload 2 documents in jpg, gif, png & pdf format here. 8MB total)
Drop files here or

Accepted file types: jpg, gif, png, pdf.
B. The Community Foundation of West Georgia would appreciate photos, in digital format if possible. These pictures might show people impacted by the program, the finished project, etc. If people are included, make sure their written permission has been obtained and is included for possible use in our displays, newsletter, annual report, website, etc. Please give a description and/or caption of the photo here.
PHOTOS: If people are included, make sure their written permission has been obtained and is included for possible use in our displays, newsletter, annual report, website, etc. (You may upload up to 5 photos here in jpg, gif, png or pdf format and up to 8MB total.)
Drop files here or

Accepted file types: jpg, gif, png, pdf.

Save and Continue Later

Community Impact Grant Final Report Form

Step 1 of 2

Please answer the following questions clearly and concisely using no more than 4 pages

Share this: