FY26 Component Fund Grant Award Final Report

Component Fund Grant Award Final Report Form
Grant # (found on your grant award letter)*
Grantee Name*
Grant Award From (Name of Fund)*
Date of Award*

MonthDayYear
Date
Date of Report*

MonthDayYear
Date
This form was completed by:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The Northwest Minnesota Foundation requires a final report upon completion of each project for which a grant is awarded. Please attach additional information or other materials that further reflect the outcome of your project.

Please contact NMF at giving@nwmf.org if you have any questions about the final grant report or other questions regarding your grant.

Grant Outcomes
What measurements did you use to determine whether or not this project was successful?*

0/2000
Please provide an impact story. How did this program/initiative Build Better Lives for an individual who lives or works here? An impact story helps illustrate not simply what you did, but what the impact is of your work. A great impact story includes not just the basic facts and data of what was accomplished or done but offers a narrative, an emotional connection to the work we do.*

0/2000
Authorization to share your Impact Statement*

I AUTHORIZE NMF to use my Impact Statement in any NMF publications or on any NMF Social Media platforms. It is okay to display my name and/or business name.I AUTHORIZE NMF to use my Impact Statement in any NMF publications or on any NMF Social Media platforms but would prefer my name and/or business name to remain anonymous.I DO NOT AUTHORIZE NMF to use my Impact Statement in any NMF publications or on any NMF Social Media platforms.By signing this final grant report form, I certify that I am authorized to give permission on behalf of anyone under the age of 18 who is depicted in the grant report.
Signature*

Clear
Today's Date*

MonthDayYear
Date
Were all funds awarded for the project used? If no, what amounts of funds are remaining?*

0/2000

If you have any supporting documents you'd like to include in your report please upload them here. You can upload multiple files!

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Thank you!

The Northwest Minnesota Foundation shall not discriminate against any individual in the terms and conditions of employment, personnel practices, or access to and participation in programs, services, and activities with regard to race, national origin, color, ethnicity, creed, religion, sex, sexual orientation, gender identity, age, disability, marital status, family status, economically disadvantaged, status with regard to public assistance, or membership or activity in a local human rights commission.
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Component Fund Grant Award Final Report Form