Until There's A Cure: Grant Report

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Until There’s A Cure Grant:
Final Report Form

This form is designed to serve as a guide to assist you in preparing your reports to the Until There's A Cure Foundation. The information listed here is the minimum required. You may add additional information, if appropriate. You can print and fill out this form or reproduce it using a word processor. If you prefer to use a word processor, you can open the equivalent RTF file (assuming your browser is configured to support RTF format documents) and work on it in your word processor, such as Microsoft Word.

Your final report is due to the Foundation by October 31 of the year following the grant award, unless otherwise specified in your Grant Agreement (that is, by October 31, 2008 for the 2007 grant year; by October 31, 2009 for the 2008 grant year). Failure to submit timely reports may be cause to terminate the grant, may require that funds be returned to the Foundation, or may reflect negatively on requests for future funding from the Foundation.

Please refer to the Grant Agreement to complete the following information:

Date of This Report:

Grantee (Organization) Name:

Name of Project:

Grant Amount:

Grant Year:

Date Approved:

Person Completing This Report:
(name, title, telephone #)

Purpose of the Grant:

Objectives:

For Prevention Education projects:
What activities were performed?

How many people were served?

Progress to Date:

Were evaluation techniques successful? (Please describe evaluation techniques and specific measurements.)

For Awareness projects:
What activities were performed?

What media/communications were used?

How many people were targeted?

Progress to Date:

What evaluation techniques were used? (Please describe evaluation techniques and specific measurements.)

For Care/Services projects:
What care/services were provided?

How many people were served?

Progress to Date:

Were evaluation techniques successful? (Please describe evaluation techniques and specific measurements.)

For Vaccine/Policy grants:
Progress to Date:

Were evaluation techniques successful? (Please describe evaluation techniques and specific measurements.)

Please Attach:

An itemized project budget report, comparing budgeted expenses as stated in your original proposal to actual expenditures of funds. The itemized budget report should be consistent with the format of the budget in your original proposal and should indicate the specific uses of Foundation funds.
Copies of any publicity or press coverage the project has received.
Any supplementary materials you believe might interest the Foundation.
Information on any activities your organization carried out to publicize or sell The Bracelet.

Please Sign:

	____________________________________		________________
	Signature of Executive Director		Date

Send your report to:

Until There's A Cure Foundation
560 Mountain Home Road
Redwood City, CA 94062-2515

If you have any questions about this report, please contact us.