GRANT REPORT FORM
(to download Word file click here)

Please provide the information requested and answer the questions below. Your answers should be brief, but complete. We hope you will be candid in telling us what was successful, as well as what was unsuccessful, so that we can all learn through your efforts.

Please mail the form back to the Foundation at 1660 Bush Street, Suite 300, San Francisco, CA 94109. If you have any questions, please feel free to call (415) 561-6540.

Foundation, Amount, and Date of Grant:

Date of Report:

Organization:

Fiscal sponsor (if applicable):

Contact person name & title:

Mailing address:

Phone number:

Fax number:

Email address:

Website (if applicable):

2. Please give a brief description of the project/program for which funding was awarded.

3. How does the project/program fit into the organization's mission and goals?

4. What were the specific objectives of the funded project/program?

5. In what specific ways were these objectives met?

6. What objectives were not met and why?

7. What future plans do you have for the funded project/program?

8. With 20/20 hindsight, is there anything you might have done differently, or is there anything you learned that will change the program in the future?

9. Please submit a financial statement for the project (or if not a project, then for the organization) that shows how the grant funds were spent. (You can annotate the financial statement if that is a convenient way to explain the expenditures to us). Please include any pertinent invoices when applicable.

Please provide any additional information relevant to this report.