Grant Report Form

Grant Evaluation and Final Report

Bay Area Community Foundation is interested in learning about the outcomes of your grant project/program and how the funds were utilized. Grant recipients, as part of accepting the award, are required to complete a report within one year of receipt of the grant.
Instructions: Most fields are required. Please note that this form does not save prior to completion. You must complete and submit the form in its entirety before exiting your browser. If you have not spent all of your grant funds, STOP - do not fill out this report form. Call your program officer for instructions.

Click here for a printable PDF of the report questions.
Contact Information
Date Form Completed*

MonthDayYear
Organization Name*
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Phone Number*
Person Completing Report*

First NameLast Name
Title*
Example: Program Officer
Email*
example@example.com

Project/Program Information
Date of Grant Award (see date on grant award/contract letter): *

MonthDayYear
Total Amount of Grant Award:*
Name of fund and amount awarded from the fund. If your project/program was funded by more than one fund, please list each fund and amount.*

Fund NameAmount of Award
Fund NameAmount of Award
Fund NameAmount of Award
Fund NameAmount of Award
Using a single sentence, what was the purpose of this grant?*
What did your grant accomplish?*

0/200
To what extent were your proposed outcomes realized? Were there any unintended or unexpected challenges? *

0/200
Give one human interest story that helps illustrate the success of your grant project/program.*

Financial Information
Did your expenditures differ from your grant application? Explain any variances from the original projected budget submitted with your application.*
How were the grant funds spent (include items purchased and dollar amounts):*
Were there any unspent funds from the grant award? If yes, do not continue or submit this report form. Call your program officer for further instructions.*
Yes or No

Attachments
Attach a .pdf or .jpg of your public announcement of receiving this grant.*

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Attach any pictures in .jpg format that may be used by BACF to highlight your grant. Please make sure you have signed photo releases before submitting the pictures.

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Attach any other materials in .pdf or .jpg format related to your grant that you think would be helpful to share with us.

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Signature*

Clear
Should be Empty:

Grant Evaluation and Final Report