Outcome Report

Grant Outcome Report

Organizations who receive funds from the Community Health Foundation are required to submit a Grant Outcome Report by July 31. Most organizations receive funds in October and must submit the form by July 31 of the following calendar year.

Please direct any questions to the CHF's Executive Director at
chfkayco@gmail.com.

Organization name

Contact person & Title

Phone number

Project Dates if applicable

Dollar amount AWARDED by CHF

If selected other, please specify:

Dollar amount USED during grant period (October - September)

Total program or project budget

Were funds from the CHF used as matching funds?

1. Program Summary & Population Served: Please provide a brief summary of your program or project. Include the number of individuals served and any demographic information available (such as age, gender, geographic area served, income level, or other relevant characteristics).

2. Use of Funds: Please provide a budget report showing how Community Health Foundation grant funds were used. Include copies of receipts, invoices, or other supporting documentation if available. If any grant funds remain unspent, please explain why and describe how the remaining funds will be used.

3. Impact of the Grant: What measurable impact did this project have on your organization and/or the individuals served? Please include quantitative data when possible (e.g., number served, participation rates, health outcomes, educational outcomes, etc., number of attendees) as well as any qualitative feedback.

5. Challenges & Lessons Learned: Were there any goals or intended outcomes that were not fully achieved? If so, please describe the challenges encountered, how they were addressed, and any lessons learned that may improve future efforts

6. Success Stories & Additional Information: Please share any success stories, participant testimonials, photos, media coverage, partnerships, or other information that demonstrates the impact of this project. Include any additional information you would like the Community Health Foundation Board to consider when reviewing future funding requests.

7. Sustainabilty: How will the benefits of this project continue after the grant period ends? Please describe any plans for sustainability, continued funding, or ongoing program support.

REQUIRED Please upload a budget of how all funds received from the Foundation were spent. Please include any funds not spent and how those funds will be used. Two file types accepted. If the file is a document use the Upload File button on the left. If an image file, please use the Upload File button on the right.

Upload File - Document File

Upload File

Upload supported file (Max 15MB)

Upload File - Image file

Upload File

Upload supported file (Max 15MB)

Thanks for submitting your outcome report!