NNDC Momentum Grant Final Report
Please use this form to complete the final report for your Momentum Grant. This information may be used for marketing, to show impact and for grant application purposes.
Project Name
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Task Group
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Principal Investigator(s)
*
Main Contact
*
First Name
Last Name
Email of main contact
*
Confirmation Email
example@example.com
Phone Number of main contact
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Please enter a valid phone number.
Format: (000) 000-0000.
Use of Funds (indicate all that apply):
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Support for an in-person meeting of the group to implement project goals
Support for collecting pilot data in an ongoing or planned project
Support to help launch a pilot project
Support for the development/dissemination of clinical guidelines
Other
If you selected "Other" above, please describe below:
Funding Cycle Year Awarded
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2022-2023
2023-2024
2025-2026 (please note that there was not a 2024-2025 award cycle)
2026-2027
Date Completed
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-
Month
-
Day
Year
Date
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Summary of Outcomes:
Describe at least two outcomes achieved below. Examples include (but are not limited to) data collection and/or analysis, a governmental or foundation grant application, a peer-reviewed publication, development of an educational tool, etc.
Outcome #1
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Please describe your outcome with a description and, if possible, include any qualitative or quantitative data
Outcome #2
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Please describe your outcome with a description and, if possible, include any qualitative or quantitative data
Outcome #3
Please describe your outcome with a description and, if possible, include any qualitative or quantitative data
Outcome #4
Please describe your outcome with a description and, if possible, include any qualitative or quantitative data
Please upload an excel file detailing how the Momentum Grant funds were used to complete this project.
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Please include any attachments demonstrating success of the project such as images, summaries, posters, presentations, etc that we may use to demonstrate the success of this project to others
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We can accept the following formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Momentum Grant Testimonials
This information may be used for marketing purposes.
Please use this opportunity to describe how the Momentum Grant helped your task group and individuals within the task group, how this grant may help advance research and/or clinical practice, how this grant is making an impact to address gaps in the field, what opportunities may arise due to the grant, why receiving the grant was so important to your task group, etc.
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Do you have any recommendations or suggestions to improve the Momentum Grant program?
This is an opportunity to add any additional information:
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