SCC Charlotte Grant Evaluation Form

When Speedway Children’s Charities awards a grant, we hope that the grant will have a positive impact on children in our community. This report is our primary opportunity to measure the achievements of the projects we support, and we use your results and feedback to determine where our funds have the best effect on children’s lives and what types of programs are best suited to our goals.

We are aware that your project may still be in progress, but we ask that you briefly answer the questions as they apply to your program up to this point. We are not only interested in what contributed to the success of your project, but also the challenges you face in reaching your ultimate goal.

Organization Name*

Project/Program Coordinator*

Legal Name of Organization*

Address*

Apt, Suite, etc. (Optional)

City*

State*

Zip*

Phone*

Email*

Date*

Grant Date*

Grant Amount*

Project Name*

Brief statement of project’s scope of work, goals and objectives for the past year, and the extent to which the goals and objectives were met.*

Were there any unexpected outcomes of the project (either positive or negative)?*

Provide a success story describing how your foundation has benefited from Speedway Children’s Charities grant dollars.*

Discuss the specific plans, if any, for continuing the work begun by this project.*

Briefly describe how your organization has been affected by both the United Way budget cuts, (if applicable), and the current state of the economy.*

How many times did your agency share or tag SCC on social media. Please provide social media handles and number of followers on each platform.*

Did your group volunteer with Speedway Children’s Charities in the past year? If so, what event.*

Please attach a list of itemized expenditures based on the project budget presented in the original grant application. Identify any variances.*

* Indicates a required field

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SCC Charlotte Grant Evaluation Form

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