Please fill out the following form. Note that you are currently unable to save and come back later so please complete the entire form in one session. A copy of this evaluation is forwarded to the donor adviser. Special Grants Evaluation Legal Name of Organization Address City State Zip Contact Information Executive Director / CEO Executive Director / CEO Phone Number Project/Program Manager Project/Program Manager Phone Contact Email Project/Program Information Grant Amount $ How were grant dollars used? When the above organization accepted the grant, it was affirmed by said organization that no goods or services were provided to the recommending donor adviser named herein. Further, the above organization affirmed that this grant was not being used to satisfy an enforceable pledge or for scholarship. Additionally, it was affirmed that the donor adviser or related parties are not receiving a grant, loan, compensation, or similar payment as a result of this grant. The donor adviser or related parties were also prohibited from securing benefits from the above organization as a result of this grant. What were the most important outcomes and lessons learned from this project? Remember, sometimes your outcome isn't exactly how you expected and that's okay! Success Story Upload a picture for the project/program Upload Upload requirementsOne file only.200 MB limit.Allowed types: jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx. Upload another picture/flyer or helpful document Upload Upload requirementsOne file only.200 MB limit.Allowed types: jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx. Additional Information CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
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