Grant Progress Report The purpose of this Progress Report is to provide The Mainstay Foundation with an assessment of how the grant was spent and the impact of the program the grant supported. This information is important for the foundation to continue to assess your center’s eligibility to receive grants. Furthermore, the data will be useful for our internal purposes as we strive to improve and enhance our grant providing program. Step 1 of 3 - Contact Information 0% Instructions for Completing Progress Report - The Progress Report must be completed by the project manager and submitted to the Mainstay Foundation in a timely manner. - It is important that you answer all questions fully. All information must be accurate and up to date, as agreed upon within the grant agreement. - As provided in the terms and conditions of the Grant Agreement, any misleading information presented within this report, intentionally or otherwise could lead to the termination of the grant. - The attached expenditure template is expected to be included as part of the progress report, highlighting the use of the funds and accompanied with supporting documentation. The Mainstay Foundation Identification number*Grantee (Organization) Name*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Grantee Email Address* Grantee Contact Phone Number*Grantee EIN*Initial Applicant Name*Initial Applicant Email Address* Name of Project Manager*Project Manager Phone NumberProject Manager Email* Project Title/Name*Amount Requested in USD*Amount Awarded in USD*Reporting Period*Start DateEnd Date What were the measurable goals you set out for this project (refer to section 3 in your Grant Application)? What did you accomplish during this project to advance your desired goals?*Goals and Objectives Progress Summary: Please complete the table below*Goal (as set out in section 3 of Grant Application)Work/Activity undertaken to accomplish goal?Was the goal met? (Yes/No/ Partially) Please explain the reasons why goals listed in question 2 were partially or not met.What challenges did you face during the planning and execution of the project? What measures did you take to address the challenges?*Describe any efforts you have made to acquire additional funding/resources to fund your project. Please provide the amount and use of these funds.*Will you continue to implement this project in the future? If so, what will you do differently to overcome the challenges you faced this year and maximize on achieving the desired goals?*Please fill out expenditure template detailing the use of grant funds for this project. Please upload finished template and any supporting documents that substantiate listed expenses.*Click HERE to download the Expenditure template Drop files here or Please attach pictures from the program* Drop files here or By completing and signing this Progress Report form, you have confirmed the following:* - That you the signatory is authorized by your organization, named in this application form, to complete this Progress Report and accept these terms and the terms and conditions set out in the grant agreement form. - You have certified that the information provided in the progress report form and any supporting documents provided are up to date and are accurate. I agree Certified by Project Manager: Name:*Date:* This iframe contains the logic required to handle Ajax powered Gravity Forms.