Mini-Grant Evaluation

Please download the approval signature form, have it signed and upload the scanned document in the next section.

Download Form

Please upload the below using the button directly below:

Please upload the signed form here:

Browse Files

Mini-Grant Awarded:

Type of Grant (Choose One)

Recipient Name

First NameLast Name

Email

example@example.com

Grant Title

Grant Amount

Briefly describe the funded project/program and the activities carried out during the grant period.

Describe those served by the project, specifically referring to the grade level, number of individuals served, age, gender and other descriptors.

Provide an example(story) that illustrates what you consider to be the most significant impact on the lives of the individuals served as a result of your project.

Have you expended the entire grant amount?

Did you use the grant for the purpose specified in the grant agreement?

If you answered NO on either or both of the above questions briefly describe why.

Provide a detailed list showing how requested funds have been used:

Material & Supplies (Include all expendable or consumable items)

Rows	Estimate Amount	Short Description
expense item 1
expense item 2
expense item 3
expense item 4
expense item 5
expense item 6

Professional (Presenters include all fees and travel expenses related to bringing in outside presenters)

Rows	Estimate Amount	Short Description
expense item 1
expense item 2
expense item 3
expense item 4
expense item 5
expense item 6

Travel (include all students, teacher/staff related travel costs)

Rows	Estimate Amount	Short Description
expense item 1
expense item 2
expense item 3
expense item 4
expense item 5
expense item 6

Equipment (Include all non-expendable items that exceed $500. Explanation and description must be in project narrative)

Rows	Estimate Amount	Short Description
expense item 1
expense item 2
expense item 3
expense item 4
expense item 5
expense item 6

Mini-Grant Evaluation

Project Evaluation: