Conversation to Action Final Report

Conversation to Action Mini-Grant

Final Report Form
Please complete this final report form for the Conversation to Action Mini-Grant that you received. If you apply for another grant from the Community Foundation, a final report for all previously received grants must be on file. The project financial summary should include a list of revenue sources (received) with amounts for each and a list of the project budget and actual expenses by category. Also, please detail the items in the budget for which the Community Foundation grant was used. If the grant funds are not expended for their intended purpose within one year of the grant issuance date, they must be returned to the Community Foundation unless written authorization has been obtained from the Community Foundation prior to the deadline.

COVID-19 Form Completion or Update
We understand that the COVID-19 pandemic has put a lot of things on hold, including your awarded grant projects. In an effort to make sure that our office in staying in touch and updated on your projects, we ask that you select an option below to either complete the final report if you have completed your project OR provide an update on your project.
I need to:

Complete the final report, or Provide an update

Conversation to Action Project Update
Please complete the below form to provide an update on your Conversation to Action Project. After you have completed the fields, please click the "SUBMIT" button at the bottom of the page.
Name

First Name Last Name
Email
example@example.com
Project Name:
Amount Awarded:
Please provide an update on your project and your plans to move the project forward during this time, if feasible.
Potential Project Completion Date

Month Day Year
Date

Grant Contact Information

Please complete the following fields with your contact information.
Did you apply as an Organization or an Individual?

Organization Individual
Organization Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Grant Contact

First Name Last Name
Email
example@example.com
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com

Project Information

Please complete the following fields related to your project.
Name of Project:
Number of participants?
What impact has this grant had on your organization and/or the people you serve?
Number of volunteers?
Was this project carried out as planned?

Yes No
Please explain why not:
Please list the major objectives and positive outcomes of the project.
What would you do differently?
If this project or program is expected to be an ongoing effort, what are your next steps?
Did you receive any additional funding for this project outside of this grant?

Yes No
How much additional funding did you receive?

Project Marketing and Advertisement
Please upload a picture of your project or program in action.

Browse Files

Cancel of
How did you publicize this project?
May we quote you for our newsletter or other publications?

Yes No
If you had to write a short social media post describing the impact or outcome of your project, what would you say? We would like to use this information on our social media pages.
By clicking submit below, I certify that the above information is true to the best of my knowledge and that I am authorized to sign on behalf of this organization.
Should be Empty:

Conversation to Action Mini-Grant