HC - Project Participant Report
  • Project Participant Report

  • Using the form below, please share insights from your grant-funded project(s). This form should take about 10 minutes to complete.

    Data from your submission may be used to provide your organization with support and/or in aggregate in public reports. Please DO NOT include personally identifying information of service recipients (i.e., first and last name), or health-related records (i.e., copies of clinical case notes).

    Before completing your submission, please refer to your previous report submissions to maintain accuracy and consistency.

    For a list of useful definitions and frequently asked questions, please see the Project Participant Report: Definitions & FAQ.

    If you would like to provide more feedback or experience technical issues with the form, please reach out to your point-of-contact at The Center or us at Aging@JewishFederations.org.

    Report Dates: 

    Report Quarter Reporting Period Report Due Date
    2024, Quarter 1 April 1 - June 30, 2024 July 31, 2024
    2024, Quarter 2 July 1 - September 30, 2024 October 31, 2024
     2024, Quarter 3 October 1 - December 31, 2024 January 31, 2025
     2025, Quarter 4 January 1 - March 31, 2025 April 30, 2025
     2025, Quarter 1 April 1 - June 30, 2025 July 31, 2025
     2025, Quarter 2 July 1 - September 30, 2025 October 31, 2025
     2025, Quarter 3 October 1 - December 31, 2025 January 31, 2026
     2026, Quarter 4 January 1 - March 31, 2026 April 30, 2026
  • Organization Information

  • Grant Participants

  • In the following section, please provide the number of participants served across all projects funded by your JFNA grant from the start of your grant to through the current report period.

    Expanded Critical Supports subgrantees: this section of the report does not include participants of EFA grants. Please include EFA participants in the EFA section at the bottom of this form.

  • Participants by Project

  • In the following section, please provide the number of participants served through each grant-funded project.

    A project is an activity your organization is funded to implement according to your approved Stage 2 grant application. Some organizations may have one project while others may have multiple projects. Some project examples include PCTI staff training, music therapy, and case management.

    Expanded Critical Supports subgrantees: this section of the report does not include participants of EFA grants. Please include EFA participants in the EFA section at the bottom of this form.

  • Project 1

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  • Project 2

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  • Project 3

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  • Project 4

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  • Project 5

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  • Project 6

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  • Project 7

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  • Project 8

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  • Project 9

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  • Project 10

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  • Project 11

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  • Project 12

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  • Project 13

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  • Project 14

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  • Project 15

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  • Project 16

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  • Project 17

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  • Project 18

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  • Project 19

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  • Project 20

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  • Emergency Financial Assistance

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  • Thank you for completing the Project Participant Report.

    Please use the 'Print' button to save a copy of this survey for your records.

    After printing, please click the 'Submit' button below. 

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