Grant Period: May 21, 2015 to May 20, 2016
Final Report Due: June 30, 2016
Final reports for 2015 grants from The Community Fund for Women & Girls must be submitted by email to Kara Straun at kstraun@cfgnh.org
by 5pm on June 30, 2016. Additionally, in order to apply for a 2016 grant from the Fund, you must submit an interim report or your final report by the
2016 application deadline. Reports must include your actual program budget using the form on the last page of this document.
As you enter your responses, please remember that there are no right or wrong answers. The Fund views these reports not only as a valuable learning tool for assessing its overall impact, but as a reflection tool for grantees who strive to promote the social and economic advancement of Greater
New Haven’s women and girls.
Do not alter the layout or formatting of this document in any way. The outlined boxes will expand to fit your text.
Grant Number:
Organization Name:
Program Name:
Grant Amount:
Contact Person for This Report:
Phone Number/Email Address:
Which report are you submitting? (mark with an ‘X’)
Interim Report with Actual Program Budget
 You may submit an interim report if you plan to apply for a 2016 grant but your program will not be finished by the 2016 application deadline. Once your program has concluded, please submit a final report by June 30, 2016.
 In addition to the ‘Interim Report Questions’, answer the ‘Interim Report and
Final Report Questions’ to the best of your ability. The Fund is interested in how your program is progressing.
Final Report with Actual Program Budget
Organizations with an operating budget of $600,000 or more are required to create or update their giveGreater.org
® profiles by January 8, 2016. Please contact Stephanie Chung at schung@cfgnh.org
or 203-777-7077 if you have questions about your giveGreater.org
® profile. If applicable, have you created or updated your giveGreater.org
®
review?
profile and submitted it for Foundation
Yes No
Rev. 3/26/15
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Interim Report Questions
1.
When do you plan to submit your final report?
2.
Briefly explain why your final report is not yet available.
Interim Report and Final Report Questions
1.
Briefly summarize your program and your original request to the Fund.
2.
Please list the specific outcomes your program sought to achieve and how many women and/or girls you projected would be impacted.

3.
Please describe the actual activities and outcomes achieved by your program as listed in
Question 2.

4.
How many women/girls directly participated in your program? a.
If applicable, how many women/girls were indirectly impacted?
5.
Describe how those impacted by your program (target population) are better off as a result.
Please include quantitative and qualitative data. Does your evaluation/data collection process include input from the population served? If yes, how is this utilized in assessing success in achievement of outcomes?
6.
Please describe any challenges that your program encountered during the grant period or is currently facing? What lessons did you learn?
7.
Did the grant leverage other support (in various forms, not just financial) for your program or organization? Please explain.
8.
Is there a story you would like to share that illustrates the impact of receiving this grant?
* Please attach copies of communications that mention/acknowledge the support of The
Fund for Women and Girls
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Grant Period: May 21, 2015 to May 20, 2016
Final Report Due: June 30, 2016
Itemized Program Expenses
Dollars
From the
Fund
Dollars
From Other
Sources
Total
Equipment
Supplies
Labor and Contracted Services
Transportation
Insurance
Printing, Copying and Postage
Other
Additional Details e.g., sources of other dollars or in-kind donations, discrepancies between the budget submitted with your application and this budget, etc.
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