Template:FDC impact report form v1
Purpose of this document edit
This is the report that recipients of funding will be required to fill out to report on the use of funds and their progress toward established goals.
FDC Impact Report edit
Legal name of affiliate organization (national chapter, sub-national chapter, thematic organization, or third-party group): | |
Contact name and title (position): | |
Contact username or email: | |
Grant title: | |
Amount received (in USD): | |
Actual amount spent (in USD): | |
Time Frame: [Start: mm/dd/yy] – [End: mm/dd/yy] |
Summary edit
- Key messages from the previous year's grant and funds used
Financial Summary edit
Please provide a detailed budget or outline costs in the format below.
Revenues | Budgeted | Actual | Explanation of variances from plan |
|
Operating Expenses | Budgeted | Actual | Explanation of variances from plan |
|
Project Expenses | Budgeted | Actual | Explanation of variances from plan |
|
Progress against previous year's goals/objectives edit
Activities executed | Strategic objectives | Progress against measurable indicators | Explanation of variances from plan (if no plan, N/A) |
|
Lessons Learned edit
- What were your major accomplishments in the past year and how did you help to achieve movement goals? What enabled your success?
- What unanticipated challenges did you encounter and how did this affect what you were able to accomplish?
- What can other Chapters or entities learn from your experience?
Additional Information edit
- This section is optional. Please use it to link to any other relevant information that may be helpful.