Grantee Name:
Grant Tracking#:
The Saint Paul Foundation
Grantee Evaluation Results
To Complete this form: Please refer to your Grantee Evaluation Plan for the above named
grant to complete the Activities, Outputs, and Outcomes sections of this Grantee Evaluation
Result form. The Grantee Evaluation Plan referenced was completed and submitted by your
organization when the grant was approved. Activities, Outputs, and Outcomes cannot be
changed from the original Grantee Evaluation Plan.
ACTIVITIES: List activities as written in the original Grantee Evaluation Plan and indicate the
degree to which each activity was achieved. If any of the proposed activities were not fully
achieved, explain why in the Narrative Report. (Activities were defined by the organization &
approved by the Foundation’s assigned Program Officer at the time the grant was approved)
1.
Fully Achieved
Partially Achieved
Not Achieved
Fully Achieved
Partially Achieved
Not Achieved
Fully Achieved
Partially Achieved
Not Achieved
2.
3.
OUTPUTS: List output(s), proposed output(s), and Data Collection method(s) as defined in
your original Grantee Evaluation Plan. Indicate your actual outputs for this grant, as measured
by the data collection method(s). If the proposed outputs were not fully met, explain why in
the Narrative Report. (Your organization chose Outputs from a defined list specified by the
Foundation at the time the grant was approved)
Description of each
Proposed Output(s)Proposed
Selected from a defined list
# for each
Proposed
Outputs
# for each
Actual
Outputs
Data Collection Method for each Output
1
OUTCOMES: List Outcome(s) and Data Collection Method as defined in your original Grantee
Evaluation Plan. Indicate your progress toward achieving the outcomes for the grant as
measured by the data collection method(s). If any the proposed outcomes were not fully
achieved, explain why in the Narrative Report. (Outcomes and data collection methods were
determined by the organization and approved by the Foundation’s assigned Program Officer at
the time the grant was approved.)
Proposed Outcome(s)
Actual Outcomes
Achieved (circle)
Fully Achieved
Partially Achieved
Not Achieved
Fully Achieved
Partially Achieved
Not Achieved
Data Collection Method for each Outcome
2