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 [email protected] if you prefer.

Step 1 of 4

Grant Cycle (or Initiative Name)
- Fall
- Spring
Date of Report
MM slash DD slash YYYY
Organization Name
Report Contact Name
First Last
Contact Phone
Contact Email
Please list goals as they appear on your grant request.
Original Goals Met (Y/N) Somewhat Met (Y/N) Not Met (Y/N) If you selected ‘Not Met’ or ‘Somewhat Met’, please explain below.
Project Focus Area:*

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Outcome Grant Evaluation Form

Step 1 of 4

*Funds from BCHF must be used to benefit the citizens of the Town and County of Bedford.

Project Update: (When responding to the questions below it is acceptable to use bullets for listing data and information.)

Project Implementation:

Project Outcomes:

Lessons Learned:

Collaboration:

Sustainability:

Public Relations:

Project Budget:

Original Goals	Met (Y/N)	Somewhat Met (Y/N)	Not Met (Y/N)	If you selected ‘Not Met’ or ‘Somewhat Met’, please explain below.

Name of Partner Agency	Nature of Partnership	Results of the Partnership