Grant Report Form - Government

Norfolk Community Grant— Report Form

Organization Information

Name of Organization(Required)

Address(Required)

Street Address Postal Code Town/Area

Contact Name(Required)

First Last

Phone(Required)

Email(Required)

Project Start Date(Required)

Project Completion Date(Required)

Financial Report

Expenses(Required)

Clearly indicate the specific expenses that the grant funds were used to offset. Please submit details in space provided or upload a file containing the required information

File

Max. file size: 512 MB.

Costs(Required)

Please provide the project's actual costs as they are compared to the original project budget that was submitted. Please submit details in space provided or upload a file containing the required information

File

Max. file size: 512 MB.

How did the grant help you to achieve your project goals?

How did the funding support the selected Norfolk County strategic priority or priorities as outlined in your application?

How did the funding have a positive impact on Norfolk County?

How was Norfolk County recognized in the course of your project?

Describe some of the challenges you faced.

Describe your next steps.

Share links to your project.

Attach any photos

Drop files here or

Max. file size: 512 MB.

Signed & Authorized by a representative with legal or financial signing authority for the organization.

Name

First Last

Title or Role

Signature