Outcome Grant Evaluation Form

READ THIS FIRST!  Once you start the form, you must complete it or lose the information.  The data you enter in this evaluation form is not automatically saved.  You can request a word file from info@healthybedford.org if you prefer.

Step 1 of 4

  • Original GoalsMet (Y/N)Somewhat Met (Y/N)Not Met (Y/N)If you selected ‘Not Met’ or ‘Somewhat Met’, please explain below. 
    Add a row


Print Grant Evaluation Form


In response to the governors declared state of emergency to address the Coronavirus pandemic, the Bedford Central Library will be closed to the public beginning Wednesday, March 18, 2020. As a result, The Bedford Community Health Foundation will make available curb side drop-off service for grant application delivery on March 18 through April 1st.

Our staff will be available to accept grant applications from 9 am to 3:30 pm each day. Prior to coming to drop-off your grant application, we ask that you call 540.586.5292 or call/text (540) 798-0214 so we can meet you outside. If someone is not available to meet you, please drop-off curbside to library staff and they will ensure we receive it.