Grant Termination Report
If you have had your federal grants terminated, please complete the information below. Thank you.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select the federal agency that has terminated your grant. Please note that we have only received confirmation of grant terminations by NEH and IMLS. The agencies listed are those that museums most commonly receive grant funding from.
*
National Endowment for the Humanities
National Endowment for the Arts
Institute of Museum and Library Services
National Science Foundation
United States Department of Agriculture
National Park Service
National Aeronautics and Space Administration
National Oceanic and Atmospheric Administration
National Archives
Department of Education
Other
If other, please list the agency
Total grant amount
Total dollar amount lost by termination
In a brief 1-2 paragraphs, please describe the impact of what losing this grant will mean for your museum and your community
Are you willing to attribute your name and your museum's name to your impact story?
Yes
No
I'm not sure, please contact me first
Did you submit a grant reimbursement for expenses accrued in February and/or March?
Yes
No
Have you received a response or reimbursement?
I have received a response, but no reimbursement
I have received a response and reimbursement
I have received neither a response nor a reimbursement
Please share any details you're willing to provide regarding your reimbursement request
Please attach your termination letter
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: