Heading

Grant Evaluation

Cover Sheet
Date of Report

- Month - Day Year
Date
Grantee Organization Name
Executive Director

First Name Last Name
Email
example@example.com

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Telephone

- Area Code Phone Number
Name of Contact Person (if different from Director)

First Name Last Name
Program/ Project Title
Purpose of Grant (one sentence)
Amount of Grant
Program Dates
Have there been any changes to your organization's IRS 501(c) (3) not-for-profit status since your request for this grant?

Yes No
(If "Yes" to the previous question) Please explain.
Name and title of Person Completing Evaluation Report
Signature
President/ Superintendent/ Director
Staff/ Title
Date Signed

- Month - Day Year
Please have this report signed, dated, and returned to our office upon completion of your grant project to ensure Foundation acceptance of future grant requests from your organization.

Grant Evaluation
Results and Lessons Learned:
Summary Briefly describe how the grant dollars were used.

Progress and Results: Using the goals and outcomes of the program/project that were identified in your application, share your success in achieving those goals. Include comments if additional explanation is needed

	Goal	Expected Outcome	Actual Outcome
#1
Comment
#2
Comment
#3
Comment

List the program's goals as stated in your original grant application. What did you wish to accomplish with this grant?
Outline how the program did or did not reach its goals. Using the defining standards/indicators that you provided on your grant application, describe the outcome of your project.
Please explain Including statistics and measurable outcomes whenever possible.
For ongoing programs: What changes will you be making in the program?
Were you able to establish any collaborative efforts with other organizations as you worked on this project?
What are the most important lessons learned and outcomes of this project?

Public Relations:
Provide a "human interest" story that helps explain the success of the project.
In what ways has your Mackinac Island Community Foundation grant made your program possible or more successful?
Provide a quote for MICF use from either the project coordinator, Board Chairperson, or a beneficiary that describes the success of the project.
Attach any printed material relating to your program: press or news items, brochures, letters of support, photographs, etc.

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NOTE: Please submit AT LEAST two photos for use in the Foundation's newsletters and/or Annual Reports. Cancel of

Financials:
Please include a complete accounting of how your Mackinac Island Community Foundation grant was spent:
- Show original budget, as submitted with the grant application, and actual income and expense compared to the original budget.
- Include a copy of all paid invoices
Please upload a PDF or Excel file detailing the income and expenses for your project.

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Cancel of

Revenue for the Total Project: The actual revenue should include all sources that provided funding revenue for the program/project (example: MICF Grant, donations, etc.)

	Revenue Type	Estimated	Actual
1.
2.
3.
4.
5.
Total

Expenses for Total Project: Expenses should include any costs your organization incurred to complete the program/project. Please note which expenses were paid for by the grant from the Community Foundation.

	Expense Type	Estimated	Actual
1.
2.
3.
4.
5.
Total

Please include any explanation of the budget that will help reviewers understand how the program/project was funded and implemented.
Future Plans:
If this is an ongoing program, please explain how it will be funded when the grant spending is completed
Should be Empty:

Grant Evaluation