Grant Evaluation Form - LLGLEF - Community Foundation Of Middlesex County

COMPLETE THIS EVALUATION FOR the Community Foundation of Middlesex County Grant.

Instructions: Complete the evaluation when the program is complete and/or the grant funding has been fully expended. The form is completed and submitted on the website. You may "Save and Continue Later" - the site will email you a link which is active for 30 days. Evaluation responses should include references and outcomes as connected to your original application. Complete all questions.

Certain documents are requested and are to be uploaded to the form All items must be uploaded as PDF Files or JPEG Files.
Legal Name of Organization*
Division or Department Name (if applicable)
Contact Name / Title Competing the Evaluation
Contact Email
Contact Phone
Grant Year Being Reported (2020)
Date Report Submitted
MM slash DD slash YYYY
Organization Purpose / Project / Program Funded
CFMC Grant Award $
Total Cost $
Synopsis*
Please write a short summary (one or two sentences at most) of the achievements associated with the grant to date. This is meant to serve as a quick summary. (Response limited to 500 characters with spaces.)

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Evaluation Narrative
Program / Project narrative responses should include information about the specific grant-funded project and impact on the organization's overall work.
Capacity Building/Organization Support grants should include information and impact on the organization's ability to serve its community and how the grant assisted in the organization's work within the community.
Measurable Impact in the Community
Considering the objectives and hoped-for outcomes in your original application, how would you describe the measurable impact so far on the population(s) you serve? Please include specific information, including quantifiable details and qualitative anecdotes that help us better understand the current outcomes of and the impact of our grant. (Maximum of 7,500 characters with spaces)
Measurable Impact within the Organization
What has been the project's measurable impact to date on your organization? Has the grant (1) helped to attract new funding from the community, (2) increased collaboration with other organizations, (3) increased volunteer involvement? How has your organization changed as a result of this project or support? (Maximum of 2,500 characters with spaces)
Ongoing Pandemic Implications
We recognize that the effects of the pandemic continue to impact our nonprofit organizations and our community. Are there ongoing issues you are aware of affiliated with the pandemic affecting either your organization or the community you serve? Are there new issues or needs developing that we should be aware of? (Maximum of 1,500 characters with spaces)

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Grant Demographic Information
Primary Area of Need/Impact Served (choose ONE)
Secondary Area of Need/Impact Served (choose ONE, if applicable)
Was this an on-going or new program grant or capacity building/organization support grant:

New

On-Going

Capacity Building / Organization Support
Grant Type (choose ONE)
Other - Grant Type

Total Number of People in Middlesex County Personally Impacted by this grant

Target Demographics (Select all that apply):
Adults
Young Adults (ages 18-25)
Youth (ages 13-17)
Children (ages 6-12)
Birth to 5 years old
Families
Parents / Guardians
Retirees
Students (all ages)
Veterans
Women and Girls
At Risk Boys and Young Men
LGBTQIA+
Animals
Birds, and Other Wildlife
Other
Other Demographic:

Geographic Area(s) Served By This Grant:
Please select only those which are directly served by this application.
Chester
Clinton
Cromwell
Deep River
Durham
East Haddam
East Hampton
Essex
Haddam
Killingworth
Middlefield
Middletown
Old Saybrook
Portland
Westbrook
List of Collaborators
If this was a collaboration among two or more organizations or in conjunction with school(s) or a school district, list each organization. Include the name of the organization and the name of Executive Director or CEO.

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Additional Information To Be Included with the Evaluation
Please Note: Additional information requested below MUST be uploaded in PDF files or JPEG files. Other document formats will not be accepted by the application form. Attempts to upload other file formats could result in a loss of all application data entered.
Budget to Actual Summary related to the grant:
The Budget to Actual Summary Form is the required format.
NOTE: The budget document MUST be uploaded in PDF FORMAT.
Please provide an itemized budget to actual income and expenses related to the grant, including the amount raised from other sources. The form is available on our website in a Word document. If your organization uses a similar format - and it shows both itemized revenue and expenses as applied to the need or project for which you received a grant award, you may submit that document.

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Accepted file types: pdf, Max. file size: 256 MB.

Publicity
If you received any publicity for this grant, please describe how CFMC was recognized. (Maximum 750 characters)
You may also attached any copies of articles, stories or other publicity below the response.
Publicity examples
(upload any examples of publicity such as press releases, newspaper or online media articles or other materials - allowed formats are JPG or PDF)

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Accepted file types: jpg, pdf, Max. file size: 10 MB.

Story, Photographs, and Other Materials

Drop files here or

Accepted file types: jpg, pdf, Max. file size: 50 MB.

The positive impact of a project is not always easy to communicate via measurable results. You are welcome to share a story that illustrates the impact as well as photos and/or other materials that illustrate the impact of your grant. (Acceptable file formats are JPG or PDF)
If you have created a video or large photo slideshow for the Community Foundation, please email links for the content on cloud-sharing applications or YouTube links to Thayer Talbott at Thayer@MiddlesexCountyCF.org
Organizational Information
Thank you for completing the evaluation report. It is very helpful to understand the organizational context in which you are using grant funds. Please take this opportunity to update us on any significant organizational changes, developments, or challenges. How have these developments contributed to impeded organization success? Additionally, the Community Foundation is always interested in providing resources and information to assist organizations in growth and development. Is there any problem or issue confronting your organization that the Community Foundation should consider when developing training, networking, and resource opportunities?
Thank you for your evaluation report.
You will receive a copy of your submitted report and attachments by email.
If we have questions or need further information, we will contact you.
If you have other items, video links, photos or updates you would like included, or have questions or other information regarding this grant or our grant process, please contact Thayer Talbott at Thayer@MiddlesexCountyCF.org

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Grant Evaluation Form – LLGLEF

CFMC Emergency Fund Grant Evaluation

Step 1 of 4

COMPLETE THIS EVALUATION FOR the Community Foundation of Middlesex County Grant.

Evaluation Narrative

Grant Demographic Information

Additional Information To Be Included with the Evaluation

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