Online Grant Evalution Report

Age range: - K-12:

Age range: - Adults:

Name of Program: *

How many individuals/families from the MCF service area (Middletown, Monroe, Franklin, Trenton, Madison) were served through this grant? Or in the case of schools in MCF service area: Middletown, Monroe, Franklin, Madison, Edgewood, Middletown Christian and Bishop Fenwick. *

Grant Cycle (date): *

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Age range: - Infants/Babies:

Was your grant experience with MCF satisfactory? *

Upload Your Program Budget

Economic information: - Middle Class ($45,000 – 139,999):

Age range: - 75+:

Age range: - Children 5-14:

Ethnicity of those served: Caucasian:

How has this grant enhanced the quality of life in the community? *

Gender: Male:

On-line Grant Evaluation Report

Were there any factors that impeded your progress with this program? (Enter comments below) *

Ethnicity of those served: Native American:

Ethnicity of those served: Hispanic:

In what ways have you publicized this experience and this grant? *

Gender: Female:

Please provide an attributed quote regarding the funding that we may use in media materials. (2-3 photos would also be appreciated) *

Comments

How were the funds used? *

Please complete the following Evaluation of the program funded and return it to the Middletown Community Foundation (MCF) no later than nine months from the time the check was issued. This Evaluation is a requirement as stated on the Grant Application form.

The Middletown Community Foundation will not consider future grant requests if your organization has not complied with the grant evaluation report requirement.

Ethnicity of those served: African American:

To what extent were the objectives of the grant realized? Use measurables where possible. *

Economic information: - Below or near poverty level (Less than $20,000):

Economic information: - Upper Middle Class ($140,000 – 149,999):

For what purpose(s) was the grant used?: *

Ethnicity of those served: Asian:

Name of Grant Recipient: *

Economic information: - Low income ($20,000 – 44,999):

Age range: - Youth 14 – 19:

Demographic Information: