Organization & Contact Information:
Date:
Name of Your Organization:
Fiscal Agent (if different from your organization):
Address:
Phone:
Email:
Contact person:
Title:
Program Name:
Grant Amount:
Period that this report covers: / to /

Instructions:
Please answer the following questions and provide a complete Final Expense
Report indicating how the grant award was used (3 pages maximum for answers
and a final expense report).

Your responses to the following questions should focus specifically on the funded
project or program.

Please reflect on the goals and objectives described in your original grant
request (or any revisions submitted subsequent to the grant award).

Consider the following questions as a guide to your response:
a. What were your major accomplishments?
b. What steps or actions were used to meet your objectives and goals?
c. What measures were used to determine your progress?
d. Were there any unexpected results or key learnings you would like to
share with funders?
e. Were there any setbacks encountered during the period of this grant?

If yes:
~How did these setbacks impact your goals and objectives?
~How were these setbacks addressed?

f. Who else has funded this project, and at what level? If total proposed
budget amount was not raised, indicate if program goals were altered in
any way.
g. What steps are being made to ensure the sustainability of your project or
organization beyond this grant period?

AT 10 MONTHS INTO YOUR PROGRAM/PROJECT PLEASE SUBMIT A
COPY OF THIS REPORT AND A PROJEC/PROGRAM YTD EXPENSE
REPORT TO CHURCH HOME AS SOON AS POSSIBLE.