American Water Grant Funding Final Report Form

Missouri American Water Grant Funding Final Report Form

This report is required if your organization received a grant amount of $5,000 or more .

* Indicates Required Fields

*Please select the Area:

ORGANIZATION INFORMATION

*Organization Name:

Contact Person:

*Address:

Title:

*City:

*Email Address:

e.g.email@email.com

*State:

*Phone:

e.g.888-888-8888

*Zip:

e.g.12345

Fax:

Program Name
(if applicable):

*Grant Amount:

Period that this report covers:

to /

e.g.12/2009

Please provide a complete expense report indicating how the grant was used:

Please respond to the following questions using up to three pages total, not including the cover page. Your responses should focus specifically on the funded project or program, if applicable, or in the case of general operating grants, on your entire organization.

1. Referring to the goals and objectives described in your original grant request (or any revisions submitted subsequent to the grant award), please indicate the following:
a. What were your major accomplishments?
b. What steps or actions were used to meet your objectives or goals?
c. What measures were used to determine your progress?
d. What were the unexpected results or key learnings you would share with American Water (if any)?
e. Were there any setbacks encountered during this project, and if so, how were they addressed?

2. If this is a long-term project, what steps are being made to ensure its sustainability beyond this grant period?

ADDITIONAL ATTACHMENTS

FINAL REPORTS MUST BE SUBMITTED NO LATER THAN SIXTY DAYS AFTER THE END OF THE GRANT PERIOD.