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Menu
Home
About Us
Open menu
Become A Member
Photo Gallery
Grants Program
Other Coalitions
Contact Us
Project Reporting Form
Date Of Project:
Project Name:
Your Name:
Telephone:
Location Of Project:
Address:
Project Description:
Wellness Theme: (Please check ALL that apply)
Healthy Eating
Health Protection
Tobacco Control
Physical Activity
Health & Literacy
Mental Health
Child & Youth Development
Injury Prevention
Healthy Environments
Whose idea was it? (Please check ALL that apply)
Wellness Coalition
Health Staff
Community Group
Other
Who participated? (Please check ALL that apply)
Children
Youth
Adults
Seniors
Other
How did you let people know? (Please check ALL that apply)
Radio
Church Bulletin
Newspaper
Other
PARTNERSHIPS:
Which partners did you work with for this project? (e.g. neighbourhood association, church group, police department, etc?)
What did each partner do for the project? (e.g. provide space, food, clean-up, planning, promotion, financial support, etc?)
Comment on whether or not these partners could work together on future projects and if other partners could help in the future?
SUSTAINABILITY:
What plans do you have to continue your project?
What plans do you have to let others know what you accomplished in your project?
What difference have you noticed in your community as a result of your project?
What would you do differently if you were able to do another wellness project?
COMMUNICATION:
How did you find out about the Community Grants Program?
Website
Newspaper
Health Care Worker
Community Event
Brochure / Poster
Community Channel / Radio
Community Group or Friend
Other
What kind of support did you receive from the Coalition to carry out the project? (e.g. promotional items, being available, answering questions)
In regard to promotion of the coaltion as a partner, was the Coalition clear about what was expected of you during the project?
Yes
No
In regard to use of funds, was the Coalition clear about what was expected of you during the project?
Yes
No
In regard to promotion of healthy messages, was the Coalition clear about what was expected of you during the project?
Yes
No
In regard to reporting and receipts, was the Coalition clear about what was expected of you during the project?
Yes
No
Comments:
PROCESS:
Was the grant application easy to complete?
Yes
No
If “No”, how can we make it easier?
Did you receive your grant money in time?
Yes
No
Did we give you enough time after your project to send in your receipts and this report?
Yes
No
Comments:
Please share any stories or experiences from your event/project.
Can we call on you to share your project experiences with other groups?
Yes
No
What final overall comments do you have about your experiences with the Community Grants Programs?
Was the final report easy to complete? If not, how can we make it easier?
Yes
No
COMMUNITY GRANT BUDGET
Provide costs to develop
and implement the initiative.
Provide in-kind and actual expenses - applicants must send all receipts incurred.
Receipt Attached -
Yes
Or No
Submit
