Grant Evaluation | Berrien Community Foundation

At this time the form does NOT let you save and come back.

Please complete the entire form and when you are finished, hit "PREVIEW" and scroll through to the bottom. If you are satisfied with the preview, you can then hit the "SUBMIT" button (which will show up on the preview page) to complete your evaluation submission.

This is ONLY for our competitive grant process. If you received a Donor Advised Fund grant please click HERE instead.

Download Post Grant Budget Form by clicking here: Post Grant Budget Form

Organization Information

Legal Name of Organization *

Administrative Office Address *

FEIN # *

Contact Information

CEO/Executive Director *

CEO/ED Primary Phone *

CEO/ED Primary Email *

If different from the CEO, fill out the following for the Program Manager.

Project/Program Manager

Project/Program Mgr. Primary Phone

Project/Program Mgr. Primary Email

Project Information

Project/Program Name *

Grant #

Not required. If you know it that's great. If not that's okay.

What month and year did you receive this grant?

This is the date of the application deadline, not when you received the check.

Grant Amount *

Purpose of Grant *

One sentence only please.

Dates of Project/Program *

Total Number of People Served *

This includes everyone who participated in your program. Example: 30 children participated in a theater workshop

Number of People who Benefitted *

This number should be the total number of people affected by your program. Example: 300 audience members who attended the children's theater workshop.

Volunteers Utilized *

Please list the number of volunteers and what kinds of roles they played. Example: 10 people, they helped with snacks, costumes, and set design

Total Volunteer Hours Worked *

Noteworthy Statistics

This is your chance to list any other numbers that best illustrate your programs impact on the community.

Goals and Measurements #1 *

Please list the original goal. In one page or less, please explain your ranking. Don't forget that not meeting your goals does not mean you have failed. Often there are positive results from programs that were not originally projected.

Measurements #1 *

Please rank how closely you met this goal. 1 being somewhat met and 10 being completely met

Goals and Measurements #2

Measurements #2

Please rank how closely you met this goal. 1 being somewhat met and 10 being completely met

Lesson Learned *

Please share any lessons learned, and/or any recommendations you would make to others working in this area. What would you do differently? Anything else

Success Story *

Provide a short "human interest story" that helps illustrate the success of the project

Second Success Story *

Provide a short "human interest story" that helps illustrate the success of the project

Please upload 2 pictures in jpg or png format in the following spaces.

Download the post-grant budget form here, then upload it below in a doc, docx, or pdf format.

In addition upload your organization logo for us to use in publications.

Picture 1 *

More information

Files must be less than 200 MB.
Allowed file types: jpg jpeg png pdf.

Picture 2 *

More information

Files must be less than 200 MB.
Allowed file types: jpg jpeg png pdf.

Financial Report *

More information

Files must be less than 2 MB.
Allowed file types: pdf doc docx.

Organization Logo *

More information

Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc.

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