Grant Report Form – Wellness Coalition – Avalon East

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Home
About the Wellness Coalition
Grants
Membership
Resources
News
- Newsletter
Contact

COALITION GRANTS

Providing wellness related funding.

Grant Report Form

Grant recipients are required to complete a report at the end of each project and supply receipts. Please use the form below to complete the report. 

Please note, you cannot save the report and return to it later. You may upload a maximum of 20 files for receipts or pictures. Contact us if you have any issues with the form.

Final Report - Wellness Grant Program

CONTACT INFORMATION

PROJECT DETAILS & SUMMARY

Project Description: (e.g. what was your goal, target audience, what was the # of participants? What wellness area was addressed? Tell us what you did.)

OUTCOME/EVALUATION: Did the project achieve the outcome you expected? (Did what you expect happen?)

Yes No Maybe

Were there unexpected outcomes?

Yes No

If yes, what were the unexpected outcomes?

What impact did the project have? (What difference/change has occurred in your target audience/organization/community as a result of the project?)

What were the lessons learned, if any?

What plans do you have to continue, sustain or build on your project?

How will you let others know what you accomplished?

Please share at least one story or experience that demonstrates the impact of your project.

PARTNERSHIPS

PROCESS:
Was the grant application easy to complete?

Yes No Uncertain

Did you receive your grant money in time?

Yes No Uncertain

WERE THE FOLLOWING EXPECTATIONS CLEAR?

Acknowledgement of Coalition as a funder

Yes No Uncertain

Appropriate use of funds

Yes No Uncertain

Reporting requirements

Yes No Uncertain

Can we call on you to share your experiences with other groups?

Yes No Uncertain

Was the final report easy to complete?

Yes No Uncertain

Additional comments about your experience with the Wellness Grant Program (optional)

FINANCIAL STATEMENT: Report on Wellness Grant Program expenditures only. Attach relevant receipts

Budget Item

Opening Balance

Actual Expenditures

Amount Remaining

Budget Item

Opening Balance

Actual Expenditures

Amount Remaining

Budget Item

Opening Balance

Actual Expenditures

Amount Remaining

Budget Item

Opening Balance

Actual Expenditures

Amount Remaining

Budget Item

Opening Balance

Actual Expenditures

Amount Remaining

Budget Item

Opening Balance

Actual Expenditures

Amount Remaining

Budget Item

Opening Balance

Opening Balance

Actual Expenditures

Total Opening Balance

Total Expenditures

Total Amount Remaining

AUTHORIZATION

We acknowledge that this application was completed with true and accurate information.

accounting

Wellness Coalition Avalon-East

Promoting wellness in the Avalon East region through community collaboration, awareness, and action.

Get In Touch

Sarah Burton- Health Promotion Core Program
NL Health Services-Eastern Urban Zone
Mount Pearl Square-Community Services
760 Topsail Road
Mount Pearl, NL A1N 3J6

Send us a message

Phone: (709)752-4912
Hours: Mon. – Fri. 8:30 a.m. – 4:30 p.m.

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