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?

Please provide a summary of your program or project and the actual demographic profile and number of people impacted by your project or organization.

Please explain the key activities of the program this year and provide evidence whether the intended outcomes were achieved.

What measurable differences did the project make for your organization and/or those served by your organization?

If any intended outcomes were not achieved, please indicate reasons.

Please list and describe any additional information and/or success stories involving those served by your organization, including information the Community Health Foundation Board may need in possibly awarding future funding.

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 File - Image file

Upload File

Thanks for submitting your outcome report!