Children’s Home Foundation Fund Final Evaluation Form

Thank you for completing your Final Evaluation. To comply with your grant award, provide your completed Final Evaluation by the date listed in your award letter and grant agreement. Failure to submit a Final Evaluation will impact future grant awards. You may submit your Final Evaluation prior to the end of your grant year should your project be complete. Answer all questions using information that applied to the project supported by grant funds.

Grantee Organization Name*

Project Title*

Name of Executive Leader*

First Last

Title of Executive Leader*

Email of Executive Leader*

Phone # of Executive Leader*

Name of Contact Completing Application*

First Last

Title of Contact Completing Application*

Email of Contact Completing Application*

Phone # of Contact Completing Application*

Select your Award Year (Year funds were Awarded/Received):*

Select your Grant Year (Year during which all grant work took place):*

Grant Award Amount*

Impact Narrative

Answer these questions clearly and concisely; no limit.

Did the implemented project differ from what was proposed in any way? Explain in detail.*

What was your project’s most notable success?*

What was your project’s biggest challenge?

Please provide a brief story that illustrates how this project helped economically disadvantaged children in Dauphin, Cumberland and/or Perry Counties.*

Please provide an outline of actual expenditures compared to the budgeted expenditures for the project.*

File Upload

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Please use this section to upload any pictures or additional attachments you may need to submit with your Grantee Final Evaluation.

Provide signatures from the applicant organization below. By providing your digital signature below, you agree that the provided information in this Final Evaluation is true to the best of your knowledge and may be submitted for review.

President/CEO*

Signature Confirmation*

Confirm

By providing your digital signature above and checking this box, you agree that the provided information in this Final Evaluation is true to the best of your knowledge and may be submitted for review and that you are authorized by your Board President and CEO to act on behalf of your organization.

Children’s Home Foundation Fund Final Evaluation Form

Children's Home Final Evaluation Form

Children’s Home Foundation Fund Final Evaluation Form

Impact Narrative

Zachary Moore Music Memorial Fund

Pillars with Purpose

Owen's Fund