Grant Evaluation Grantee:_______________________________________________________________________ Grant Amount: $__________________________ Project Name _________________________ Date Grant Was Authorized: _________________________ Report Date:__________________ Purpose of Grant: _________________________________________________________________ Project Contact: __________________________________________________________________
The Kiwanis Club of South-West Peoria was pleased to have made a grant in support of the above project and look forward to receiving a summary of the project completion. This information is valuable in helping the Kiwanis Club of South-West Peoria report to International Kiwanis regarding their funding activities and the effectiveness of these projects. Please return this form and the 1 page evaluation, as soon as possible to: South-West Kiwanis, Grant Evaluation, P. O. Box 9335, Peoria, Illinois 61612
Evaluation of Grant Activities (1 page limit) 1. How were the funds from this grant used? Please provide a project budget or receipts if applicable. If the entire grant has not been expended, please explain your plan for the unexpended amount. 2. Did this grant assist you in receiving funds from other sources? 3. How was S-W Kiwanis publicized? Please attach examples. (pictures, printed articles, television or radio interviews, posters, printed programs, etc.) 4. Was the project a success? Please include comments regarding the project’s impact. 5. Please include electronic logo if applicable for possible inclusion in an article on our web-site or in the South-West Kiwanis Dasher newspaper. Authorized Signature for Project: _______________________________________________
Thank you for being our partner in making a difference for children!