Small Grants for Organisations
Report Form
Key points to note:
 Please check the Grant recipients’ page on our website to ensure this is the most recent
version of this form.
 It is important to answer all the questions – missing any will mean we will not have all the
information we need to understand what our grants have – and have not - achieved. This
informs our further grant-making strategy.
 Please fill in the form on a word processor and follow the format provided.
 The length of the answers to some of the questions is intentionally limited.
 Please avoid using jargon and explain any abbreviations.
 Email the following documents to info@sixpointfoundation.org.uk:
☐ Report form ☐ Budget
 We may ask to visit.
Guidance
Grantee organisations must complete this Report Form when the Six Point Foundation grant
has been spent.
This form asks for facts and figures, as well as anecdotal evidence where needed, to show:
a. the grant has been spent as intended;
b. a report of achievement against the grant agreement; and
c. (optional) one case study.
We strongly advise becoming familiar with this reporting format before beginning to spend
the grant so that all involved know what is expected from the outset. The late or incomplete
filing of reports may count against an organisation seeking future awards.
Six Point Foundation ∙ 25-26 Enford Street ∙ London ∙ W1H 1DW
Tel: 020 3372 8881 ∙ Email: info@sixpointfoundation.org.uk ∙ www.sixpointfoundation.org.uk
Six Point Foundation is a company limited by guarantee (7714355) and a charity registered in England & Wales (1143324)
Small Grants to Organisations | Report form v1
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Small Grants Report Form
Please type in the spaces provided which will expand to fit and keep to word limits where requested.
Part A | Summary of grant details
Grant reference number
Organisation name
Grant amount awarded £
Grant start date Enter a date
Contact name for this report
Position in organisation
Phone numbers Landline
Mobile (if available)
Email address
Special communication needs
Part B | Details of grant activity
Project/service title
Outputs
In Section 4 of the grant agreement we agreed outputs that would be achieved by the grant. List
each one below, summarising the achievements and challenges with facts and figures.
(Add any more as needed in Extra Outputs, following the same format)
Output 1
[Type Output 1 as listed in the grant agreement]
Achievements against targets:
Challenges:
Output 2
[Type Output 2 as listed in the grant agreement]
Achievements against targets:
Challenges:
Output 3
[Type Output 3 as listed in the grant agreement]
Achievements against targets:
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Challenges:
Extra Outputs
Please confirm if high quality photographs of the activities are available: ☐ Yes ☐ No
If ‘Yes’, tell us how we can access them. If ‘No’, tell us why they are not available.
Number of beneficiaries
Total number of Holocaust survivors/refugees in difficult financial circumstances
who have directly benefitted from the grant (count each person once)
Total number of Holocaust survivors/refugees overall who have directly benefitted
(count each person once and remember to include those in the category above)
Main Outcome
In Section 4 of the grant agreement we agreed one main outcome that would be achieved by
the grant. Below please summarise the achievements and challenges with facts and figures
where possible.
[Type Main Outcome as listed in the grant agreement]
Achievements against targets:
Challenges:
Special Conditions
Please respond here to any Special Conditions relating to your grant as outlined in Section 3 of
the grant agreement. (Add any more as needed in Extra Conditions)
Condition 1
[Type Condition 1 as listed in the grant agreement]
How the Condition was met:
Condition 2
[Type Condition 2 as listed in the grant agreement]
How the Condition was met:
Extra Conditions
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Referrals to SPF’s grants for individuals programme
Please confirm if any referrals were made to SPF’s grants for individuals : ☐ Yes ☐ No
If ‘Yes’ tell us how many and any other details available
If ‘No’ tell us why no referrals were made
Finance
Please provide the grant expenditure by updating the original income and expenditure budget
ensuring that you clearly explain deviations for each item. It must be approved and signed by
the organisation’s treasurer, accountant or equivalent (a digital signature and/or the budget
sent from their email account is acceptable). Check to confirm the budget is approved:
☐ Budget is approved. Provide additional comments here
The next section is optional
Case Study
Please provide one case study of a beneficiary. Be specific and include facts and figures as
evidence where possible. For data protection purposes, please ensure the case study is
anonymised.
Summarise how they benefitted from the grant
(SPF’s special interest is Holocaust survivors/refugees in difficult financial circumstances so
please refer to issues related to experience of the Holocaust and personal financial challenges
where relevant)
Supply a quote by the survivor/refugee on the grant’s impact on them
(If this is not possible, please supply a quote from a family member or a support worker who
knows them)
“
We publicise case studies on our website or in other public documents to celebrate the work of
the organisations we fund and to inspire others to apply for funding. Please tick these boxes to
confirm the following:
☐ Six Point Foundation is authorised to publish this case study on its website or in other public
documents.
☐ We will provide high quality photographs to illustrate this case study.
If you did not tick one or more of the boxes (or for additional comments) please explain here:
Provide comments here
Small Grants to Organisations | Report form v1
Extra space for additional information
Part C | Signatories
Signatories
Please provide two signatures below. Digital images of signatures are accepted.
Signature 1
(Report writer)
Name (printed)
Position within
organisation
Date
Signature 2
(Chair, Director or
equivalent)
Name (printed)
Position within
organisation
Date
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