GRANT EVALUATION FORM
Please provide a brief description of project progress, highlights, and achievements. Please attach additional pages if necessary.
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The grant monies awarded to your organization originate from the federal government, and we are required to report how they are used.
Per the grant application, awarded funds may not be used to provide clinical services or to purchase food or beverages.
Please provide information in the table below with the dollar amount spent on each type of activity, as well as the time frame. (This table is supplied as a sample; please feel free to format your own.)
If you have questions about the evaluation form or other requirements, please call Eileen McDonald at 207-662-0765.
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Project Title |
Original Grant Award |
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Project Activity |
Amount Spent |
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Staffing (hours and rate) |
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Travel (miles) |
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Training |
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Supplies |
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Materials |
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Other (describe) |
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Other (describe) |