HC -Evaluation Update Report

Using the form below, please share insights from your grant-funded project(s). This form should take about 15 minutes to complete. This report is completed twice during the grant period. It is due for the first time on October 31, 2024, and is due the second time on July 31, 2025. Each covers information from the launch of the grant to date.

Data from your submission may be used to provide your organization with support and/or in aggregate in public reports. Please DO NOT include personally identifying information of service recipients (i.e., first and last name), or health-related records (i.e., copies of clinical case notes).

If you would like to provide more feedback or experience technical issues with the form, please reach out to your point-of-contact at The Center or Aging@JewishFederations.org.

Name of staff completing report.*

First NameLast Name

Email of staff completing report.*

example@example.com

Legal agency name.*

JFNA grant number.*

Example: GV-1, GV-2, etc.

Please select the number of projects funded through your organization's grant.*

Project name:*

Has your organization started collecting data for this project?*

YesNo

Approximately when were you able to start data collection efforts? *

How are data collection efforts going? *

Approximately when do you anticipate starting to collect data?*

Please explain why data collection has not yet started.*

Please describe the proposed timeline and frequency of data collection for this project. *

Project name:*

Has your organization started collecting data for this project?*

YesNo

Approximately when were you able to start data collection efforts? *

How are data collection efforts going? *

Approximately when do you anticipate starting to collect data?*

Please explain why data collection has not yet started.*

Please describe the proposed timeline and frequency of data collection for this project. *

Project name:*

Has your organization started collecting data for this project?*

YesNo

Approximately when were you able to start data collection efforts? *

How are data collection efforts going? *

Approximately when do you anticipate starting to collect data?*

Please explain why data collection has not yet started.*

Please describe the proposed timeline and frequency of data collection for this project. *

Project name:*

Has your organization started collecting data for this project?*

YesNo

Approximately when were you able to start data collection efforts? *

How are data collection efforts going? *

Approximately when do you anticipate starting to collect data?*

Please explain why data collection has not yet started.*

Please describe the proposed timeline and frequency of data collection for this project. *

Project name:*

Has your organization started collecting data for this project?*

YesNo

Approximately when were you able to start data collection efforts? *

How are data collection efforts going? *

Approximately when do you anticipate starting to collect data?*

Please explain why data collection has not yet started.*

Please describe the proposed timeline and frequency of data collection for this project. *

If applicable, please describe any challenges regarding project evaluation. (optional)

If applicable, please share any lessons learned regarding project evaluation. (optional)

Please include any questions, concerns, or ideas you would like to share with the Center's Research and Evaluation Team. If you would like to meet with the Center's Research and Evaluation Team to discuss, please note this in your response. (optional)

Thank you for completing this form.

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Evaluation Update Report

Organization Information

Project 1

Project 2

Project 3

Project 4

Project 5