Post Grant Report Form GRANT RECIPIENTS ARE INVITED TO ATTACH PAGES TO THIS FORM TO PROVIDE ADDITIONAL INFORMATION OR FOR ANSWERS THAT WILL NOT FIT WITHIN THE SPACE PROVIDED. INSTRUCTIONS FOR PROVIDING SUPPLEMENTAL INFORMATION CAN BE FOUND ON OUR INFO FOR GRANTSEEKERS PAGE. REPORTS ARE DUE EVERY YEAR ON OR BEFORE JANUARY 31st SAVE AND CONTINUE. This form includes a save and continue feature. Simply click the "Save and Continue" button at the bottom of the form and you will receive a link that will let you access the form and pick up where you left off - no username or password needed! BE ADVISED: This link cannot be retrieved so please keep record of it. 1. ORGANIZATION NAME:(Required) 2. GRANT AMOUNT RECEIVED FROM THE DBF:(Required) 3. GRANT PURPOSE:(Required)4. HAS YOUR ORGANIZATION USED THE GRANT FUNDS?(Required) YES NO 5. WHAT WAS PURCHASED WITH THE GRANT FUNDS?(Required)Please upload receipts as applicable. If the grant funds have not been used, please explain. RECEIPT FILESReceipts should be scanned and compiled into a PDF or compressed into a Zip file. Drop files here or Select files Accepted file types: pdf, jpg, png, zip, Max. file size: 25 MB. 6. HOW MANY PEOPLE WERE IMPACTED BY THIS PROJECT/PROGRAM THIS YEAR?(Required)7. PROVIDE A BRIEF STORY THAT ILLUSTRATES THE IMPACT OF THE GRANT YOU RECEIVED FROM THE DBF THIS YEAR:(Required)8. WHAT WERE THE SUCCESSES, BENEFITS AND IMPACT OF THE PROJECT OR PROGRAM?(Required)9. DID YOU ENCOUNTER ANY ROADBLOCKS WHICH IMPEDED THE SUCCESS OF THE GRANT?(Required)10. HAS YOUR ORGANIZATION FACED ANY CHALLENGES THIS YEAR AS A RESULT OF COVID-19?(Required)11. IF YOU COULD DO ANYTHING DIFFERENTLY WITH RESPECT TO HOW YOU EXECUTED YOUR PROJECT, PROGRAM, OR SERVICES PROVIDED WITH YOUR GRANT, WHAT WOULD IT BE?(Required)12. WHAT ARE YOUR PLANS FOR CONTINUING THE WORK STARTED BY THIS PROJECT OR PROGRAM?(Required)13. PLEASE DESCRIBE ANY CURRENT FINANCIAL CHALLENGES OF YOUR ORGANIZATION:(Required)14. HOW DOES YOUR ORGANIZATION MANAGE ITS FUNDRAISING?(Required)Check all that apply FUNDRAISING EVENTS WORD OF MOUTH GRANT WRITING SOLICITING ONLINE DONATIONS MATCHING GRANT CAMPAIGNS OTHER, PLEASE SPECIFY: Other15. WHAT IS YOUR ORGANIZATION DOING TO INCREASE ITS DONOR BASE?(Required)16. HOW MUCH FINANCIAL SUPPORT DID YOUR ORGANIZATION RECEIVE THIS YEAR IN THE FORM OF...(Required)Check all that apply GOVERNMENT FUNDING FOUNDATION GRANTS CORPORATE DONATIONS DONATIONS FROM INDIVIDUALS 16. Government Funding Amount 16. Foundation Grants Amount 16. Corporate Donations Amount 16. Donations from Individuals Amount 17. HOW MANY YEARS HAVE YOU APPLIED FOR AND RECEIVED A GRANT FROM THE DBF?(Required)18. PLEASE INCLUDE ANY ADDITIONAL COMMENTS ABOUT WAYS WE CAN BE OF ASSISTANCE:(Required)19. DID YOUR ORGANIZATION/PROGRAM/PROJECT RECEIVE ANY PRESS/NEWS COVERAGE THIS YEAR? IF SO, PLEASE PROVIDE MORE INFORMATION, COPIES AND A FEW PHOTOS:(Required)PRESS NEWS COVERAGE COPIES AND/OR PHOTOS Drop files here or Select files Max. file size: 25 MB. 20. ARE YOU THE PERSON WHO COMPLETED THE GRANT APPLICATION?(Required) YES NO 21. WERE YOU INVOLVED WITH THE EXECUTION OF THIS GRANT PROJECT/PROGRAM?(Required) YES NO 22. NAME & CONTACT INFORMATION FOR THE INDIVIDUAL COMPLETING THIS FORM:NAME(Required) TITLE(Required) ADDRESS(Required) Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PHONE: (OFFICE)(Required)PHONE: (CELL)(Required)EMAIL(Required) Δ
