2027 Mini Grant Reimbursement Project Closeout Form

Grant recipients must submit a final report summarizing how grant funds were used in alignment with approved activities outlined in the award agreement. Reports must include project outcomes, community impact, additional funding sources, and expense documentation demonstrating appropriate use of funds. Required documentation includes itemized receipts, invoices, or other records.

Section 1 - Grant Information

Organization Name(Required)

Project Name(Required)

Grant Award Amount(Required)

Grant Contact Name(Required)

Email Address(Required)

Phone Number(Required)

Funding Method

Standard Reimbursement

Advance Funding

Section 2: Project Completion

Project Completion Date(Required)

Was the project completed as proposed?

Yes

If no, describe any significant changes to the project.

Section 3: Project Outcomes

Provide a brief summary of the completed project.(Required)

How many people were served by the project?

Describe the outcomes and impact of the project.(Required)

Section 4: Financial Information

Total Eligible Project Expenses(Required)

Total Reimbursement Requested

Only complete if your grant was awarded on a reimbursement basis.

Were additional funding sources used to complete this project?(Required)

Yes

If yes, please describe.

Section 5: Supporting Documentation (Upload)

Please upload documentation supporting your request.

Required Upload Supporting Materials(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, word, doc, docx, xls, csv, Max. file size: 100 MB.

Itemized receipts, Paid invoices, Proof of payment, Other supporting documentation (if applicable)

Section 6: Optional Project Materials

Please upload documentation supporting your request.

Upload Supporting Materials

Drop files here or

Accepted file types: jpg, gif, png, pdf, word, doc, docx, xls, csv, Max. file size: 100 MB.

Upload any project materials you would like to share. Photos, Publications, Marketing materials, News articles, Social media posts, Videos or links.

Section 7: Certification

Authorized Representative(Required)

Name Title Date