2025 Grant Report
For Previous Grant Cycles (2025 and Earlier), please complete this report on behalf of your organization within 30 days of the completion of the program.
Name of Organization/Program
*
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Website
*
Organization Taxpayer ID #
*
Contact Name
*
First Name
Last Name
Contact Title
*
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
*
example@example.com
Type of Grant
*
Art
Assistive devices and equipment
Dance
Drama
Individual
Music
Recreation
Grant Time Period
*
Fall/Winter
Spring/Summer
Program Completion Date
*
-
Month
-
Day
Year
Date
Were you able to obtain your goal?
*
Were you able to meet the needs of the population you served?
*
What measures did you use to evaluate your program for success?
*
Please share data and/or forms and comments as applicable.
Did you use the funding to (check all that apply):
*
hire teachers/therapists
rent space
advertising
purchase materials
start a new program
increase enrollment
miscellaneous (explain below)
Did you use the funds as applied for and if not, please explain how funds were used:
*
Please upload or provide website links to one or more of the below materials which may be used by the Theresa Foundation:
*
press coverage
photo(s)
video(s)
newsletter
promo material(s)
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Website Links
Grant Report Authorization:
*
I certify that this application is true to the best of my knowledge.
Electronic Report Authorization:
*
By sending this report electronically to us acknowledges your certification to the accuracy of this report.
Signature
*
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