Grant Reporting Form Order Number This report must be submitted fully in one session. Contact Name * Organization Name * Contact Email * Program Name * If more multiple programs are funded for your agency, please complete a separate form entry for each program. Has this program changed since your last report? * Yes No Quantify Your Program Deliverables Please read about program deliverables below and provide us with numerical data from your UWCFA funded program that connects your outputs to outcomes. Please note: some programs will only have outputs to report. Outputs: quantity of goods or services produced in the past quarter. TYPES OF OUTPUTS: Unduplicated individuals: An individual would only be counted ONCE, regardless of how many activities or sessions they have attended. (ex. Individual children who have received a food backpack from a feeding program; homeless individuals who have used a shelter service). Number of total services delivered. (ex. Number of backpacks distributed; number of shelter nights provided; number of meals provided) Outcomes: benefits or changes your clients achieve at the end of participation in your program(s); observed effects of outputs on beneficiaries Describe the projected outcomes as stated on the program cover page of your proposal and the progress toward those outcomes this quarter. Outputs: quantity of goods or services produced in the past quarter. TYPES OF OUTPUTS: Unduplicated individuals: An individual would only be counted ONCE, regardless of how many activities or sessions they have attended. (ex. Individual children who have received a food backpack from a feeding program; homeless individuals who have used a shelter service). Number of total services delivered. (ex. Number of backpacks distributed; number of shelter nights provided; number of meals provided) UNDUPLICATED INDIVIDUALS OUTPUTS: How many separate outputs do you have to report about unduplicated individuals? * OneTwoThreeFourFiveSixSevenEightNineTen NUMBER OF TOTAL SERVICES OUTPUTS: How many separate outputs do you have to report about number of total services delivered? * OneTwoThreeFourFiveSixSevenEightNineTen Outcomes: benefits or changes your clients achieve at the end of participation in your program(s); observed effects of outputs on beneficiaries Describe the projected outcomes as stated on the program cover page of your proposal and the progress toward those outcomes this quarter. How many outcomes do you have to report this quarter? * OneTwoThreeFourFiveSixSevenEightNineTen Have you had any difficulties managing the funds you were allotted? * Yes No Share a story with us about how you have made an impact on an individual/group through your program. This can be from the point of view of those doing the assisting or from those who have received the assistance. Have you posted this story on a blog/social media? Yes No Have you been recognized somewhere? Have you won an award? Is there any exciting news you would like to share? Yes No Would you like to be featured in the UWCFA newsletter as a spotlight organization? * Yes No How can we help send volunteers to your organization? Are there any new opportunities that you would like for us to add to our volunteer calendar? * Provide specific date/time/location/number of volunteers needed. We want to create a community within our agencies that supports and cares for one another. Are you currently facing any challenges/issues that you need help resolving? * Is there anything you want to learn, share or ask other UWCFA funded agencies? * Is there anything that we missed that you want to tell us? *
