Interim Report Guidelines

Agency Name*

Date*

Person Submitting the Report*

First Name Last Name

Phone*

Email*

Enter Email Confirm Email

Name of the project funded*

Grant Amount*

1. Please state the results you planned to achieve with this project:*

2. At present, are you on course to achieve your stated result with the time and money remaining in this project?*

Yes
No
Unsure

If yes; please list concrete evidence to support your assessment, including progress made on the outcomes you stated in the original application that would be achieved during the grant period.*

If no; please list what hindered the project and the changes you will make or solutions you will implement to get back on track.*

If unsure; please list and explain the obstacles to be overcome or changes/adjustments that need to be made to ensure successful completion of the project.*

3. For program grants: are those you are actually serving so far different in a significant way from those you said you would be serving in your proposal? If so, what is the difference?*

4. Please demonstrate your progress on program sustainability beyond the grant period per your original proposal.*

5. Please note here the amount you have actually spent as of this interim report.*

Please verify