2023 - 24 5-Month Report

The 5-month summary of activities report allows you to report on the progress of your grant to date.

Reporting guidelines:

Your report MUST be submitted by the due date outlined in your agreement. You are welcome to start this report at any time and update it until the due date. Jotform will email you an edit link. If this report is submitted before the due date, the committee will not review it until all reports are submitted.

If your report is NOT approved, your second installment may be delayed until an approved response is submitted to the committee.

If you need a copy of your proposal, please email me at: Smallgrants@tndisability.org and I will be happy to provide the for you.

Project Name:

Example: Tennessee Disability Coalition, Small Grants Program

Full Name:

First NameLast Name

Your Email Address: *

example@example.com

Project Overview:

Please fully describe:

List your grant goals. What progress have you made towards these goals?

Do you feel confident that you will successfully reach the goals of your grant at the end of the grant term?

YesNoUnsure at this time

How is your project currently building capacity in the disability community?

What does the community involvement & outreach look like so far?

Impact & Outcomes:

Reflecting on the questions below as they are outlined in your application:

What impact & outcomes did you anticipate for this project? What progress have you made toward that impact and those outcomes so far?

How are you measuring & evaluating the progress of your project?

Have you encountered any barriers while implementing this project?

Budget:

Please use the link below to download or print the budget template and upload it with this report. I cannot grant you access to edit this form. You can also create your own, but PLEASE make sure it is similar to this one and your math adds up!

Budget template: https://docs.google.com/spreadsheets/d/1xbmNXVdPDDR6g7MOOaGdh8waajjqpXFM/edit?usp=sharing&ouid=106828017216105590387&rtpof=true&sd=true

Budget: *

Below is an optional area for you to share links, images flyers, etc.

We love to see viisual updates, too!

Updates via social media, website, campaigns, etc...

Additional upload: *